Individual
JOANNA KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
6758 PASSONS BLVD, PICO RIVERA, CA 90660-3666
(562) 654-6899
(562) 654-6895
Mailing address
920 N KINGS RD APT 224, LOS ANGELES, CA 90069-4343
(917) 916-9155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22348
CA
Other
Enumeration date
10/17/2008
Last updated
08/08/2012
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