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PATRICK L S KONG M D A PROFESSIONAL CORPORATION NPI 1316255201


NPI Information

NPI: 1316255201
Provider Name: PATRICK L S KONG M D A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1700 N ROSE AVE STE 450
OXNARD, CA
ZIP 93030
Phone: (805) 988-1105
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PATRICK L S KONG M D A PROFESSIONAL CORPORATION is a specialist in Oxnard, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PATRICK L S KONG M D A PROFESSIONAL CORPORATION NPI is 1316255201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 N ROSE AVE STE 450
OXNARD, CA
ZIP 93030-628
Phone: (805) 988-1105
Fax: (805) 988-1554

The provider's authorized official is Patrick L S Kong .
The authorized official title is Owner and has the following contact phone number (805) 988-1105.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 9/17/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA043407CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A043407OTHERCALIFORNIALIC
2B97039MEDICARE UPINCALIFORNIA

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: 11/14/2023

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