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Individual

KIM HOANG TONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093-6002
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95016959
CA
363LF0000X
Family Nurse Practitioner
95016959
CA

Other

Enumeration date
06/08/2021
Last updated
07/10/2024
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