KAREN ANN FONG MD

SAN LUIS OBISPO, CA
NPI1629321849
Doing Business AsASANTE MEDICAL GROUP
Entity TypeOrganization
Authorized ContactKAREN ANN FONG
Owner
805-242-4455
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G70251)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  G70251)
Enumeration Date2012-10-25
Last Update Date2013-03-06
Business Address
KAREN ANN FONG MD
1551 BISHOP ST SUITE 310
SAN LUIS OBISPO, CA 93401-4635
Phone number: 805-242-4455
Mailing Address
KAREN ANN FONG MD
1241 JOHNSON AVE #322
SAN LUIS OBISPO, CA 93401-3306
Phone number: 805-242-4455