Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A141106 | CA |
NPI | 1285019687 |
---|---|
Provider Name | Dr. Christopher Yoon Kong |
First Address | Los Angeles, CA 90048-4174 |
Second Address | Los Angeles, CA 90048-4174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2015 |
Last Update Date | 24/04/2018 |