Individual
DR. GARY K KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3808 W RIVERSIDE DR, SUITE 406, BURBANK, CA 91505-4325
(818) 563-1449
(818) 563-1049
Mailing address
3808 W RIVERSIDE DR, SUITE 406, BURBANK, CA 91505-4325
(818) 563-1449
(818) 563-1049
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A51276
CA
207RP1001X
Pulmonary Disease Physician
Primary
A51276
CA
Other
Enumeration date
09/20/2006
Last updated
04/10/2012
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