Brian Matthew Fong
NPI #1427344522 in Cerritos, California
Provider Information
- NPI Number
- 1427344522
- Entity Type
- Individual
- Name
- Brian Matthew Fong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 27, 2011
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 17100 NORWALK BLVD STE 107
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-2750
- Phone
- (562) 402-1525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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