Individual provider · Type 1 NPI

Henry Loren Fong, MD

Emergency Medical Services (Emergency Medicine) Physician · Petaluma, CA

NPI number 1306861158 Active

Practice location

400 N Mcdowell Blvd
Petaluma, CA 94954-2339

Call (707) 778-1111 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XG69103 (CA)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

30 other providers at this address

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About NPI 1306861158

Henry Loren Fong, MD's National Provider Identifier is 1306861158, issued on Jul 13, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Petaluma, CA. The record was last updated on Apr 14, 2011.