Individual
WESLEY G KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2495 HOSPITAL DR STE 425, MOUNTAIN VIEW, CA 94040-4196
(650) 962-4662
(650) 643-0014
Mailing address
2495 HOSPITAL DR STE 425, MOUNTAIN VIEW, CA 94040-4196
(650) 962-4662
(650) 643-0014
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A81674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263505821
TAX IDENTIFICATION NUMBER
CA
01
—
CC146Z
MEDICARE PTAN
CA
01
—
P00804581
RR MEDICARE PTAN
CA
Enumeration date
07/25/2007
Last updated
12/29/2025
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