Kong, Likuo

Kong, Likuo is an individual health care provider with primary practice located at 5575 W Las Positas Bl #210, Pleasanton CA 94588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Kong, Likuo can be contacted via phone (925) 463-1318.

Contact Information

Primary practice address
5575 W Las Positas Bl #210 Pleasanton CA 94588
Phone: (925) 463-1318
Fax: (925) 460-9002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A61940 California

Profile Details

NPI number 1518931047
LBN Legal business name Kong, Likuo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518931047 NPPES
California MEDICAID 00A619400

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