Individual provider · Type 1 NPI

Steve Fong

Student in an Organized Health Care Education/Training Program · Garden Grove, CA

NPI number 1639452279 Active

Practice location

12900 Garden Grove Blvd, Suite 214A
Garden Grove, CA 92843-2006

Call (714) 636-6286 Map

Mailing address

4771 E Pacific Coast Hwy, B
Long Beach, CA 90804-3242

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X00000000 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639452279

Steve Fong's National Provider Identifier is 1639452279, issued on Sep 20, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden Grove, CA. The record was last updated on Sep 20, 2011.