Individual
DR. BO KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12675 LA MIRADA BLVD STE 401, LA MIRADA, CA 90638-2236
(562) 789-5435
Mailing address
12675 LA MIRADA BLVD STE 401, LA MIRADA, CA 90638-2236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A103792
CA
Other
Enumeration date
07/28/2008
Last updated
03/17/2018
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