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1497382220
BUMIN KONG
THOUSAND OAKS, CA
NPI
1497382220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A178290)
Enumeration Date
2020-03-23
Last Update Date
2024-06-07
Business Address
BUMIN KONG
558 SAINT CHARLES DR STE 200
THOUSAND OAKS, CA 91360-3968
Phone number: 805-379-2322
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Mailing Address
BUMIN KONG
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number:
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