Alice Louise Pong
Pediatrician Pediatric Infectious Diseases
3020 Childrens Way
San Diego
, California 92123-4223
Alice Louise Pong
Pediatrician Pediatric Infectious Diseases
3020 Childrens Way
San Diego
, California 92123-4223
(858) 309-6301
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Alice Louise Pong
- 3860 Calle Fortunada Suite 210
- San Diego, CA
- Zip : 92123-4800
- Fax : (858) 309-6301
- Phone : (858) 309-6303
Second Address
- Alice Louise Pong
- 3020 Childrens Way
- San Diego, CA
- Zip : 92123-4223
- Fax : (858) 966-8658
- Phone : (858) 966-7785
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | G75974 | CA |
| Y | 2080P0208X | Pediatric Infectious Diseases | G75974 | CA |
National Provider Identifier
| NPI | 1568533313 |
|---|---|
| Provider Name | Alice Louise Pong |
| First Address | San Diego, CA 92123-4800 |
| Second Address | San Diego, CA 92123-4223 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 03/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G759740 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.