| Sean Hengly Kong, | |
|
12021 Wilmington Ave, Los Angeles, CA 90059-3019 | |
| (424) 454-6001 | |
| Not Available |
| Full Name | Sean Hengly Kong |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Addiction (substance Use Disorder) |
| Location | 12021 Wilmington Ave, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265278774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 95254198 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Hengly Kong, 12021 Wilmington Ave, Los Angeles, CA 90059-3019 Ph: (424) 454-6001 | Sean Hengly Kong, 12021 Wilmington Ave, Los Angeles, CA 90059-3019 Ph: (424) 454-6001 |
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