GARY KONG MD MPH INC (NPI# 1235407719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235407719 |
| Entity Type | Organization |
| Organization Name | GARY KONG MD MPH INC |
| Practice Address |
3808 W Riverside Dr #406 Burbank CA 91505-4325 |
| Mailing Address |
10061 Riverside Dr #362 Toluca Lake CA 91602-2560 |
| Practice Telephone | 8185631449 |
| Practice Fax Number | 8185631049 |
| Mailing Telephone | 8185631449 |
| Mailing Fax Number | 8185631049 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | DR. GARY KONG (PRESIDENT) |
| Authorized Official Telephone | 8185631449 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A51276 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BK3422223 | 01 |
| CA | DRIVERS LICENSE | A8320997 | 01 |
| Street Address |
3808 W RIVERSIDE DR #406 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485807 | George S. Tabor | Specialist | 3808 W Riverside Dr, Suite 404, Burbank, CA 91505-4325 | 2005-08-24 |
| 1912448556 | Leyla Sanford | Marriage & Family Therapist | 3808 W Riverside Dr, 400, Burbank, CA 91505-4325 | 2017-03-15 |
| 1154873479 | Armenae Stepanian | Specialist/Technologist | 3808 W Riverside Dr, Suite 405, Burbank, CA 91505-4325 | 2016-11-03 |
| 1093268575 | Anita Langer | Marriage & Family Therapist | 3808 W Riverside Dr, Suite 400, Burbank, CA 91505-4325 | 2016-08-01 |
| 1497102834 | Ryu Acupuncture Clinic, Inc. | Acupuncturist | 3808 W Riverside Dr, Suite 510, Burbank, CA 91505-4325 | 2016-05-16 |
| 1467812578 | Mary Guterson | Speech-Language Pathologist | 3808 W Riverside Dr, Burbank, CA 91505-4325 | 2016-03-02 |
| 1205229820 | Tali Catz | Marriage & Family Therapist | 3808 W Riverside Dr, 400, Burbank, CA 91505-4325 | 2015-03-05 |
| 1558786244 | Carolyn E. Taylor | Marriage & Family Therapist | 3808 W Riverside Dr, Suite 503, Burbank, CA 91505-4325 | 2014-03-04 |
| 1780009233 | Abri Dental Corp | Dentist | 3808 W Riverside Dr, 501, Burbank, CA 91505-4325 | 2014-02-20 |
| 1871925040 | Vahe Nakashyan | Dentist | 3808 W Riverside Dr, Suite 204, Burbank, CA 91505-4325 | 2013-07-30 |
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|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1427246701 | Daniel K. Dea M.d., Inc. | Internal Medicine | 2701 W Alameda Ave Ste 601, Burbank, CA 91505-4411 | 2007-10-11 |
| 1447593033 | Mariam Torossian | Internal Medicine | 201 S Buena Vista St Ste 440, Burbank, CA 91505-4577 | 2013-04-01 |
| 1528325925 | Dale Jun | Internal Medicine | 2625 W Alameda Ave Ste 322, Burbank, CA 91505-4822 | 2012-04-23 |
| 1861661472 | Serrano Sleep Medical Group, Inc. | Internal Medicine | 2701 W Alameda Ave Ste 601, Burbank, CA 91505-4411 | 2008-02-27 |
| 1013005503 | Daniel Kwan Dea | Internal Medicine | 2701 W Alameda Ave, Suite 601, Burbank, CA 91505-4402 | 2006-10-10 |
| 1669451571 | Mayur C Patel | Internal Medicine | 2625 W Alameda Ave, Ste 506, Burbank, CA 91505 | 2006-01-10 |
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| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.