Luong, Khoa Cong

Luong, Khoa Cong is an sole proprietor health care provider with primary practice located at 4755 Doheny Dr , Chino CA 91710-4030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Luong, Khoa Cong can be contacted via phone (909) 591-0051.

Contact Information

Primary practice address
4755 Doheny Dr Chino CA 91710-4030
Phone: (909) 591-0051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A7838 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101013560 Michigan

Profile Details

NPI number 1649253691
LBN Legal business name Luong, Khoa Cong
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Nov 17th, 2021 - about 3 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 1649253691 NPPES
Michigan MEDICAID 3332971
Michigan MEDICAID 00AX78380

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