SEAN HENGLY KONG

GARDENA, CA
NPI1265278774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95034007)
Enumeration Date2024-07-03
Last Update Date2026-06-22
Business Address
SEAN HENGLY KONG
15519 CRENSHAW BLVD
GARDENA, CA 90249-4597
Phone number: 310-679-2730
Mailing Address
SEAN HENGLY KONG
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-2730