Organization
KHONG ANESTHESIA, A PROFESSIONAL NURSING CORPORATION
Active
Organization
KHONG ANESTHESIA, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO KHONG (CRNA)
(714) 589-4507
Entity
Organization
Contact information
Practice address
11160 WARNER AVE STE 411, FOUNTAIN VALLEY, CA 92708-4056
(714) 513-1399
Mailing address
1900 CLEMENTINE ST, REDLANDS, CA 92374-1615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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