Individual
MISS CELIA KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 N ROBERTSON BLVD STE 202, BEVERLY HILLS, CA 90211-6002
(310) 385-3300
(310) 385-3366
Mailing address
807 PROSPECT AVE APT 206, SOUTH PASADENA, CA 91030-2449
(818) 395-8201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 18474
CA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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