Individual provider · Type 1 NPI

Heejun Kong

Family Nurse Practitioner · Los Angeles, CA

NPI number 1174457550 Active

Practice location

11645 Wilshire Blvd Ste 800
Los Angeles, CA 90025-6811

Call (424) 202-2585 Map

Mailing address

1518 Federal Ave Ph 15
Los Angeles, CA 90025-6373

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95039429 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1174457550

Heejun Kong's National Provider Identifier is 1174457550, issued on Jun 10, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 10, 2026.