Individual
ANDREW KHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
32819 YUCAIPA BLVD #3, YUCAIPA, CA 92399
(909) 797-9010
Mailing address
37493 BRUTUS WAY, BEAUMONT, CA 92223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304845
CA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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