Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALLEN GARY FONG, M.D.
Active Sole ProprietorDR. ALLEN GARY FONG, M.D. is a Facial Plastic Surgery healthcare provider located in SAN JOSE, California. NPI 1477834463 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · SAN JOSE, CA
Registration Details
- NPI Number
- 1477834463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2011 (14.963023574706 yrs)
- Last Updated
- Sep 2, 2011
- License
-
C36904 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2039 FOREST AVESTE # 201SAN JOSE, CA, 95128Browse CA providers · Browse ZIP 95128
- Phone
- 4088061565
- Fax
- 4087411595
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Other Facial Plastic Surgery Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| MAURO B RUFFY | M.D. | 1376725630 |
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.