Individual
DR. PATRICK LUNG-SUEN KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 N ROSE AVE STE 450, OXNARD, CA 93030-7628
(805) 988-1105
(805) 988-1554
Mailing address
PO BOX 1540, CAMARILLO, CA 93011-1540
(805) 988-1105
(805) 988-1554
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A043407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A043407
STATE LICENSE
CA
Enumeration date
01/08/2007
Last updated
03/07/2023
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