Individual
DR. KHOA CONG LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4755 DOHENY DR, CHINO, CA 91710-4030
(909) 591-0051
Mailing address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(951) 243-2018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A7838
CA
207P00000X
Emergency Medicine Physician
Primary
5101013560
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX78380
—
CA
05
—
3332971
—
MI
Enumeration date
11/23/2005
Last updated
11/17/2021
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