ALICE LOUISE PONG

SAN DIEGO, CA
NPI1568533313
Other NameALICE PONG ODONNELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: CA  G75974)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  G75974)
Enumeration Date2006-11-13
Last Update Date2011-11-03
Business Address
ALICE LOUISE PONG M.D.
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-7785
Mailing Address
ALICE LOUISE PONG M.D.
3860 CALLE FORTUNADA SUITE 210
SAN DIEGO, CA 92123-4800
Phone number: 858-309-6303