# DR. RAY DONG PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sapphire Park Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063080067
- **Authorized official:** DR. RAY DONG MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (919) 265-4957

## Contact information

- **Practice address:** 872 HUNTLEY DR, WEST HOLLYWOOD, CA 90069-5002
- **Practice address phone:** (424) 402-9609
- **Mailing address:** 872 HUNTLEY DR, WEST HOLLYWOOD, CA 90069-5002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2021
- **Last updated:** 06/15/2021