Individual
JANET JIHYUN YI KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 992-3000
Mailing address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001499
CA
363LF0000X
Family Nurse Practitioner
95001499
CA
Other
Enumeration date
06/25/2015
Last updated
02/13/2024
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