| Doctor Name: | DR. LINDA FONG |
| NPI Number: | 1003027558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A105777 |
| Business Practice Address: | Ucla Division Of Cardiology 650 Charles E. Young Drive South, A2-237 Chs, Mc167917 Los Angeles, CA - 900950001 |
| Business Phone Number: | 3107949736 |
| Business Fax Number: | |
| Mailing Address: | 5971 Venice Blvd Ste 360, Department Of Cardiology LOS ANGELES |
| State: | CA |
| Postal Code: | 900341713 |
| Phone Number: | 3108572463 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 07/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | A105777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |