Individual provider · Type 1 NPI

Ellie M. Fong, PA-C

Physician Assistant · Seal Beach, CA

NPI number 1831251990 Active

Practice location

1198 Pacific Coast Hwy Ste 1
Seal Beach, CA 90740-6251

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X18079 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831251990

Ellie M. Fong, PA-C's National Provider Identifier is 1831251990, issued on Dec 15, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Seal Beach, CA. The record was last updated on Feb 23, 2026.