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Individual

KENNY EKACHAI VONGBUNYONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 THE CITY DR S STE 40, ORANGE, CA 92868-3201
(714) 456-5691
Mailing address
6138 WHITEWOOD AVE, LAKEWOOD, CA 90712-1243

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A181958
CA

Other

Enumeration date
03/22/2021
Last updated
02/07/2025
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