Judy Jisook Kong NP

NPI 1386714350 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1386714350
Gender Female
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
15446 PARTHENIA ST
NORTH HILLS CA, 91343-5108, US
Phone (818) 891-1616
Fax (818) 895-2706
Business Location
18526 ENTRADA CT
NORTHRIDGE CA, 91326-1936, US
Phone (818) 360-5209
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State California
License Number RN194450
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According to our database, Ms. Judy Jisook Kong NP NPI is 1386714350, taxonomy code is 363LW0102X and license number is RN194450, license state is located at California. Judy Jisook Kong NP physically located at 15446 Parthenia St, North Hills CA, 91343-5108. NPI Number Judy Jisook Kong NP has the Individual type.

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1386714350 NPI number is provided on an as is basis without warranty of any kind. 1386714350 is maintained by the National Plan & Provider Enumeration System. The contents of Judy Jisook Kong NP are for informational purposes only.