Ly Kong Pheng Jalao is a primary care nurse practitioner in Sacramento, CA. Ly Kong Pheng Jalao NPI is 1952884124. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2200 DEL PASO BLVD
SACRAMENTO, CA
ZIP 95815-102
Phone: (916) 642-1890
The NPI 1952884124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/12/2018 and was last updated on 9/12/2018.