Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebonie Fong

Individual provider Licensed Vocational Nurse · NPI 1023744430

Ebonie Fong is a Licensed Vocational Nurse in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

3125 N Broadway
Los Angeles, CA 90031-2703
Phone: (213) 482-6400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 723327 (CA)

Record details

NPI number1023744430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

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