Individual
DR. ELEANOR F KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
802 7TH ST, SANTA MONICA, CA 90403-1408
(310) 393-9821
(310) 917-2669
Mailing address
1223 WILSHIRE BLVD, STE 446, SANTA MONICA, CA 90403-5406
(310) 892-0468
(310) 861-1888
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
RPH36810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH36810
CA PHARMACIST LICENSE NO.
CA
Enumeration date
05/17/2007
Last updated
07/08/2007
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