Individual
DIANNE KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9713 SANTA MONICA BLVD STE 201, BEVERLY HILLS, CA 90210-4236
(833) 624-5400
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
07/14/2025
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