Individual provider · Type 1 NPI

Eric Fong, DO

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

NPI number 1659680627 Active

Practice location

147 N Brent St
Ventura, CA 93003-2809

Call (360) 265-6578 Map

Mailing address

4911 Nautilus St Apt D
Oxnard, CA 93035-1917

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Internal Medicine Physician 207R00000X0116025237 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1659680627

Eric Fong, DO's National Provider Identifier is 1659680627, issued on Sep 24, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ventura, CA. The record was last updated on Jul 1, 2013.