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Individual

LING FUNG KONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4918
Mailing address
11234 ANDERSON STREET, GME OFFICE UA-202, LOMA LINDA, CA 92350

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A21890
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
20A21890
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
20A21890
CA

Other

Enumeration date
05/24/2022
Last updated
10/01/2025
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