YI-JEN FONG

PORTOLA VALLEY, CA
NPI1841558103
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A124113)
Enumeration Date2012-04-24
Last Update Date2022-09-27
Business Address
YI-JEN FONG MD
4370 ALPINE RD SUITE #206
PORTOLA VALLEY, CA 94028
Phone number: 650-376-6010
Mailing Address
YI-JEN FONG MD
775 FERN RDG
FELTON, CA 95018-9028
Phone number: 310-339-8534
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