Individual
KONGYUAN HE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 DE SOTO AVE, DEPT OF ANESTHESIOLOGY, WOODLAND HILLS, CA 91367-6701
(818) 719-4757
(818) 995-3490
Mailing address
5601 DE SOTO AVE, DEPT OF ANESTHESIOLOGY, WOODLAND HILLS, CA 91367-6701
(818) 719-4757
(818) 995-3490
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A61934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A619340
—
CA
01
—
00A619341
BLUE SHIELD
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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