KENTON D FONG

COUNTY OF SAN MATEO

Dr KENTON D FONG is a male medical professional, specializing in Plastic And Reconstructive Surgery. He graduated in 2001 from University Of California, San Francisco School Of Medicine.

Contact

COUNTY OF SAN MATEO

222 W 39TH AVE
SAN MATEO
CA
944034364

Tel: 6505732222

KENTON D FONG Information

Npi 1932388444
Pac Id 8325203565
Professional Enrollment Id I20120713000097
Last Name FONG
First Name KENTON
Middle Name D
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year 2001
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COUNTY OF SAN MATEO
Group Practice Pac Id 9032023171
Number Of Group Practice Members 239
Line 1 Street Address 222 W 39TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAN MATEO
State CA
Zip Code 944034364
Phone Number 6505732222
Hospital Affiliation Ccn 1 050113
Hospital Affiliation Lbn 1 SAN MATEO MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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