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Search › California › 374700000X

Kong Vang

NPI 1699331876 · on the registry since 2019

Practice

Address
1208 9th St
Modesto, CA 95354
Phone
(209) 558-4464
Fax
(209) 558-4450
Organisation at this address
Stanislaus County
County Of Stanislaus
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
374700000X
374700000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California