Individual
IZHR GOCONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
4838 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91607-3717
(818) 506-4455
Mailing address
4838 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91607-3717
(818) 506-4455
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
202474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7346243588
VETERANS AFFAIRS
CA
Enumeration date
02/03/2021
Last updated
07/11/2021
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