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1538185533
TIMOTHY WAYNE FONG
LOS ANGELES, CA
NPI
1538185533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A70984)
Enumeration Date
2006-07-14
Last Update Date
2024-07-17
Business Address
TIMOTHY WAYNE FONG MD
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095-0001
Phone number: 310-825-9989
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Mailing Address
TIMOTHY WAYNE FONG MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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