Individual provider · Type 1 NPI

Kevin Kong, DO

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1215687983 Active

Practice location

1200 N State St
Los Angeles, CA 90089-1001

Other practice locations

  • 2051 Marengo St, Los Angeles, CA 90033-1352 · (916) 300-4350

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215687983

Kevin Kong, DO's National Provider Identifier is 1215687983, issued on Mar 25, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 25, 2022.