Individual
JUN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048
(310) 423-3277
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 967-1884
(310) 967-1773
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A129164
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/19/2012
Last updated
07/05/2018
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