Dr. Lynette Fong
M.D. | Pediatrics | Female
Dr. Lynette Fong, M.D. is a Capitola, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Lynette Fong is
1820 41st Ave Ste D, Capitola, California - 95010-2516. She can be contacted on phone at
831-476-3000 and fax number 831-476-9009.
Dr. Lynette Fong is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lynette Fong is
1730282716 which was assigned by NPPES on 06 Sep, 2006 and it was last updated on 08 Jul, 2007.
Dr. Lynette Fong license number is
G75170 for Pediatrics (208000000X) in California.
Dr. Lynette Fong is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Lynette Fong basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Lynette Fong |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Lynette Fong 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 : | 1820 41st Ave Ste D
Capitola, CA, 95010-2516
United States |
|---|
| Phone Number : | 831-476-3000 |
|---|
| Fax Number : | 831-476-9009 |
|---|
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 : | 1730282716 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 06 Sep, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
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 Dr. Lynette Fong are as mentioned. Primary taxonomy code for Dr. Lynette Fong, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G75170 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lynette Fong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G75170 | Other | CA | MEDI-CAL ID NUMBER |
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 : | 1595 Soquel Dr, Ste 330
Santa Cruz, CA, 95065-1719
United States |
|---|
| Phone Number : | 831-465-7761 |
|---|
| Fax Number : | 831-475-1156 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Lynette Fong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.