Terry A Fong, ND

Individual provider Active NPI Naturopath · Foothill Ranch, CA

NPI 1043423916 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1043423916
Entity type
Individual (NPI type 1)
Primary specialty
Naturopath 175F00000X
License
ND1141 (CA)
Practice address
26700 Towne Centre Dr Ste 115
Foothill Ranch, CA 92610-2843
Phone
(949) 844-7374
Fax
(949) 272-5847
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11-1271AZMDNaturopath
ND1141CAMDNaturopath
ND301HIMDNaturopath

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath
Group: 193400000X SINGLE SPECIALTY GROUP
175F00000X
Naturopath 175F00000X 11-1271 AZ
Naturopath 175F00000X ND301 HI
Naturopath 175F00000X ND1141 CA Yes

Addresses

Primary practice location

26700 Towne Centre Dr Ste 115
Foothill Ranch, CA 92610-2843

Mailing address

PO Box 1318
Sacramento, CA 95812-1318
Phone (949) 844-7374

Other names

  • Terry A Fong Former name

Other providers in Foothill Ranch, CA

All providers in Foothill Ranch, CA · Naturopath in California

Sources for this page

Verify at the official NPI Registry.