
Medical Board of California
Licensing details for: PTL 3647
Name: FONG, ANNA MICHELLE
License Type: Postgraduate Training License
Primary Status: License Canceled
School Name: California Northstate University College of Medicine
Graduation Year: 2020
Previous Names: Fong, Anna Michelle
Current Enrolled Postgraduate Training Program
Facility Name: University of California (Irvine)/Children's Hospital of Orange County Program
City: Orange
State: California
Speciality: Pediatrics
Start Date: 06/15/2020
Anticipated End Date: 06/30/2023
Address of Record
505 S Main St Ste 525
ORANGE CA 92868-4509
ORANGE county
Map
License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Postgraduate Training License
Related Party Role: Physician & Surgeon
Name: FONG, ANNA MICHELLE
License/Registration Type: Physician's and Surgeon's
License Number: 178957 Primary Status: License Renewed & Current
Address :
1011 Baldwin Park Blvd
BALDWIN PARK CA 91706-5806
LOS ANGELES COUNTY