Individual
MICHELLE W KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 GREEN VALLEY CIR STE 130, CULVER CITY, CA 90230-6900
(818) 788-1003
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
CA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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