Dr. Allen Gary Fong
Otolaryngology/Facial Plastic Surgery
2039 Forest Ave Ste # 201
San Jose
, California 95128
Dr. Allen Gary Fong
Otolaryngology/Facial Plastic Surgery
2039 Forest Ave Ste # 201
San Jose
, California 95128
(408) 741-1595
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Allen Gary Fong
- P.o. Box 3058
- Saratoga, CA
- Zip : 95070
- Fax : (408) 741-1595
- Phone : (408) 806-1565
Second Address
- Dr. Allen Gary Fong
- 2039 Forest Ave Ste # 201
- San Jose, CA
- Zip : 95128
- Fax : (408) 741-1595
- Phone : (408) 806-1565
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C36904 | CA |
National Provider Identifier
| NPI | 1477834463 |
|---|---|
| Provider Name | Dr. Allen Gary Fong |
| First Address | Saratoga, CA 95070 |
| Second Address | San Jose, CA 95128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2011 |
| Last Update Date | 02/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A36400 | (02) | CA |
| AF7272672 | BNDD (01) |
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.