Leo L. Fong is a Vascular Surgery in Fresno, California. Leo L. Fong practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Leo L. Fong is 1215047659. The last update date is 2019-11-06.
Leo L. Fong's current location address is 2625 E Divisadero St, Fresno, California. You can contact this provider via phone number 5594432682 and fax number 5594432681. The mailing address for Leo L. Fong is 2625 E Divisadero St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo L. Fong |
|---|---|
| Address | 2625 E Divisadero St, Fresno, California |
| Phone Number | 5594432682 |
| Fax Number | 5594432681 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215047659 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2019-11-06 |
Provider Mailing Address Detail
| Address | 2625 E Divisadero St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937211431 |
| Phone Number | 5594432682 |
| Fax Number | 5594432681 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | G79576 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00238615 | CA | RAILROAD MEDICARE | |
| 00G795760 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Leo L. Fong by the Centers for Medicare & Medicaid Services?
The Leo L. Fong has been assigned the NPI (National Provider Identifier) 1215047659. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Leo L. Fong's facilities are situated?
The facilities of Leo L. Fong are physically located at the following address: 2625 E Divisadero St, Fresno, CA, 937211431.
What is the Leo L. Fong's specialty and taxonomy code?
The Leo L. Fong's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date was the 1215047659 assigned to Leo L. Fong?
The Leo L. Fong was issued its 1215047659 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Leo L. Fong last refreshed?
The information related to the Leo L. Fong, including its address, specialty, and other relevant details, was last updated on 2019-11-06.
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