Individual provider · Type 1 NPI
Kenneth Phong, NP
Family Nurse Practitioner · Los Angeles, CA
NPI number
1942740899
Active
Practice location
757 Westwood Plz
Los Angeles, CA 90095-8358
Fax (310) 825-7473
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 95006058 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95006058 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1942740899
Kenneth Phong, NP's National Provider Identifier is 1942740899, issued on Feb 26, 2017. 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 Oct 29, 2025.