Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSIE X FONG, M.D.
ActiveSUSIE 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 170ENCINO, CA, 91436Browse 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.