Individual
SEAN HENGLY KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12021 WILMINGTON AVE, BUILDING 18 SUITE 101, LOS ANGELES, CA 90059-3019
(424) 454-6001
Mailing address
12021 WILMINGTON AVE, BUILDING 18 SUITE 101, LOS ANGELES, CA 90059-3019
(424) 454-6001
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95254198
CA
Other
Enumeration date
07/03/2024
Last updated
06/25/2025
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