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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSIE X FONG, M.D.

Active

SUSIE X FONG, M.D. is a Sports Medicine (IM) healthcare provider located in ENCINO, California. NPI 1447549654 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · ENCINO, CA

Registration Details

NPI Number
1447549654
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2011 (15.417122341105 yrs)
Last Updated
Mar 4, 2020
Licenses
A129474 (CA)
A129474 (CA)

Practice Information

Address
15503 VENTURA BLVD STE 170
ENCINO, CA, 91436
Browse CA providers · Browse ZIP 91436
Phone
8184618148
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Providers in ENCINO, CA

Name Credential NPI
DR. KEREN FOGELFELD M.D. 1215185038
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.