HEEJUN KONG NPI 1174457550

NPI Information

  • NPI: 1174457550
  • Provider Name: HEEJUN KONG
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 11645 WILSHIRE BLVD STE 800
    LOS ANGELES, CA
    ZIP 90025
  • Phone: (424) 202-2585

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NPI Details

Heejun Kong is a family nurse practitioner in Los Angeles, CA. Heejun Kong NPI is 1174457550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11645 WILSHIRE BLVD STE 800
LOS ANGELES, CA
ZIP 90025-811
Phone: (424) 202-2585

The enumeration date for this NPI number is 6/10/2026 and was last updated on 6/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95039429CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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