Khong, Mario

Khong, Mario is an sole proprietor health care provider with primary practice located at 1900 Clementine St , Redlands CA 92374-1615. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Khong, Mario can be contacted via phone (714) 589-4507.

Contact Information

Primary practice address
1900 Clementine St Redlands CA 92374-1615
Phone: (714) 589-4507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95076500 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95002186 California

Profile Details

NPI number 1629759857
LBN Legal business name Khong, Mario
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2023
Last updated Dec 13th, 2023 - 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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