Individual
MS. JUDY JISOOK KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15446 PARTHENIA ST, NORTH HILLS, CA 91343-5108
(818) 891-1616
(818) 895-2706
Mailing address
18526 ENTRADA CT, NORTHRIDGE, CA 91326-1936
(818) 360-5209
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN194450
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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