Fong, Leo L.

Fong, Leo L. is an individual health care provider with primary practice located at 1247 E Alluvial Ave Ste 101 , Fresno CA 93720-2686. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Fong, Leo L. can be contacted via phone (559) 431-6226.

Contact Information

Primary practice address
1247 E Alluvial Ave Ste 101 Fresno CA 93720-2686
Phone: (559) 431-6226
Fax: (559) 440-9005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G79576 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G79576 California

Profile Details

NPI number 1215047659
LBN Legal business name Fong, Leo L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215047659 NPPES
California Other P00238615 RAILROAD MEDICARE
California MEDICAID 00G795760 RAILROAD MEDICARE

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