Individual
DR. XIAOTANG KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, BUILDING 53, SUITE 203, ORANGE, CA 92868-3201
(714) 456-3792
(714) 456-7239
Mailing address
46 HONEYROSE, IRVINE, CA 92620
(949) 551-2255
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A109357
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/08/2009
Last updated
07/31/2013
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