Individual
DR. I-YEH GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4501 X ST, SUITE 3016, SACRAMENTO, CA 95817-2229
(916) 734-3771
Mailing address
4501 X ST, SUITE 3016, SACRAMENTO, CA 95817-2229
(916) 734-3771
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A69062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A690620
—
CA
Enumeration date
09/04/2006
Last updated
12/15/2021
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