Alice Louise Pong
M.D. | Pediatric Infectious Diseases | Female
Alice Louise Pong, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases. Alice Louise Pong is also known as
Alice Pong Odonnell.
Current practice location of Alice Louise Pong is
3020 Childrens Way, San Diego, California - 92123-4223. She can be contacted on phone at
858-966-7785 and fax number 858-966-8658.
Alice Louise Pong is a sole proprietor of her business.
NPI number (Unique professional ID) for Alice Louise Pong is
1568533313 which was assigned by NPPES on 13 Nov, 2006 and it was last updated on 03 Nov, 2011.
Alice Louise Pong license number is
G75974 for Pediatrics Pediatric Infectious Diseases (2080P0208X) in California.
Alice Louise Pong is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Alice Louise Pong basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Infectious Diseases |
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| Provider Name : | Alice Louise Pong |
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| Other Name : | Alice Pong Odonnell |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Alice Louise Pong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3020 Childrens Way
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-7785 |
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| Fax Number : | 858-966-8658 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568533313 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Nov, 2006 |
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| Last Updated On : | 03 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alice Louise Pong are as mentioned. Primary taxonomy code for Alice Louise Pong, M.D. is
2080P0208X (Pediatrics Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | G75974 | CA |
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | Yes | G75974 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Alice Louise Pong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G759740 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3860 Calle Fortunada, Suite 210
San Diego, CA, 92123-4800
United States |
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| Phone Number : | 858-309-6303 |
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| Fax Number : | 858-309-6301 |
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Business Location:
Patients can refer following map for directions to
Alice Louise Pong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.