Organization
DIABLO INFECTIOUS DISEASE CONSULTATIVE SERVICE MED GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI KUO KONG MD (PRESIDENT)
(925) 463-1318
Entity
Organization
Contact information
Practice address
13851 E 14TH ST STE 308, SAN LEANDRO, CA 94578-2630
(925) 463-1318
Mailing address
PO BOX 20309, CASTRO VALLEY, CA 94546-8309
(925) 463-1318
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
02/17/2006
Last updated
07/24/2023
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