ELLIE M FONG

SEAL BEACH, CA
NPI1831251990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  18079)
Enumeration Date2006-12-15
Last Update Date2023-02-02
Business Address
Mrs. ELLIE M FONG PA-C
13930 SEAL BEACH BLVD
SEAL BEACH, CA 90740-5301
Phone number: 562-430-8888
Mailing Address
Mrs. ELLIE M FONG PA-C
13930 SEAL BEACH BLVD
SEAL BEACH, CA 90740-5301
Phone number: 562-430-8888
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