Basic Information
| Provider Information | |||||||||
| NPI: | 1497715379 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FONES | ||||||||
| FirstName: | DONALD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11875 DUBLIN BLVD | ||||||||
| Address2: | SUITE B 125 | ||||||||
| City: | DUBLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945682843 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9255872505 | ||||||||
| FaxNumber: | 9255872511 | ||||||||
| Practice Location | |||||||||
| Address1: | 3100 TELEGRAPH AVE | ||||||||
| Address2: | 2 ND FLOOR | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946093210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104525231 | ||||||||
| FaxNumber: | 5108696679 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | G021914 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.