Fong, Shirley
Fong, Shirley is an individual health care provider with primary practice located at 9985 Sierra Ave Kaiser Permanente, Fontana CA 92335-6720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Fong, Shirley can be contacted via phone (909) 427-5711.Contact Information
Primary practice address
9985 Sierra Ave Kaiser Permanente
Fontana CA 92335-6720
Phone: (909) 427-5711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 224420 | New York |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 25MA07509000 | New Jersey |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A90666 | California |
Profile Details
| NPI number | 1912935826 |
|---|---|
| LBN Legal business name | Fong, Shirley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Nov 30th, 2021 - about 5 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 | 1912935826 | NPPES |
| New York | MEDICAID | 2570574 |
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