Individual
LEANNE MAYUMI KON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 E 28TH ST, LONG BEACH, CA 90806-2759
(562) 426-5630
(562) 492-9893
Mailing address
701 E 28TH ST, LONG BEACH, CA 90806-2759
(562) 426-5630
(562) 492-9893
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A90701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ823342
—
CA
Enumeration date
09/11/2006
Last updated
12/08/2021
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