Individual
DR. GRACE E KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1240 N MISSION RD, 5K 10 MEDICAL EDUCATION OFFICE, LOS ANGELES, CA 90033-1019
(323) 226-3393
Mailing address
1240 N MISSION RD, 5K 10 MEDICAL EDUCATION OFFICE, LOS ANGELES, CA 90033-1019
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A94999
CA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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