Fong, Allen Gary
Fong, Allen Gary is an sole proprietor health care provider with primary practice located at 2039 Forest Ave Ste # 201, San Jose CA 95128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Fong, Allen Gary can be contacted via phone (408) 806-1565.Contact Information
Primary practice address
2039 Forest Ave Ste # 201
San Jose CA 95128
Phone: (408) 806-1565
Fax: (408) 741-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | C36904 | California |
Profile Details
| NPI number | 1477834463 |
|---|---|
| LBN Legal business name | Fong, Allen Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2011 |
| Last updated | Sep 2nd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477834463 | NPPES |
| Other | AF7272672 | BNDD |
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