Organization
CHRISTOPHER KONG MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER KONG MD (PRESIDENT)
(310) 423-9779
Entity
Organization
Contact information
Practice address
444 S SAN VICENTE BLVD STE 901, LOS ANGELES, CA 90048-4174
(503) 380-1592
Mailing address
444 S SAN VICENTE BLVD STE 901, LOS ANGELES, CA 90048-4174
(310) 734-6848
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821678095
HEALTH NET
—
Enumeration date
04/12/2021
Last updated
02/28/2022
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