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1164809281
MARVIN GONG
LOS ANGELES, CA
NPI
1164809281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA 20A16588)
Enumeration Date
2015-04-27
Last Update Date
2023-11-27
Business Address
MARVIN GONG D.O.
1520 SAN PABLO ST STE 3000
LOS ANGELES, CA 90033-5315
Phone number: 323-442-5710
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Mailing Address
MARVIN GONG D.O.
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5710
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