Individual
MR. CARL CHEUNG TUNG KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6122 WHITTIER BLVD, LOS ANGELES, CA 90022-4504
(323) 725-1250
(323) 726-9091
Mailing address
6122 WHITTIER BLVD, LOS ANGELES, CA 90022-4504
(323) 725-1250
(323) 726-9091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY30457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA304570
—
CA
Enumeration date
01/06/2006
Last updated
07/08/2007
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