Individual
JOYCE KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4744 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91602-1833
(818) 505-0484
Mailing address
4860 VIA COLINA, LOS ANGELES, CA 90042-5020
(213) 393-5921
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
80350
CA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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