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Individual

MIN JEFFREY KONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6500
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A183976
CA
2085R0202X
Diagnostic Radiology Physician
R77287
AZ

Other

Enumeration date
06/14/2018
Last updated
06/26/2025
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