Individual
PING GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1620 BROCKTON AVE APT 13, LOS ANGELES, CA 90025-3741
(805) 280-9854
Mailing address
1620 BROCKTON AVE APT 13, LOS ANGELES, CA 90025-3741
(805) 280-9854
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000711
CA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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