Gary Kong MD MPH Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A51276 Issued in CA

Legal business name

GARY KONG MD MPH INC

Practice address

3808 W Riverside Dr
#406
Burbank, CA 91505-4325

Phone

(818) 563-1449

Fax

(818) 563-1049

NPI assigned

Dec 12, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Kong, M.D.NPI 1740388891

Title

President

Phone

(818) 563-1449

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary K Kong, MD, MPH

  • Pulmonary Disease Physician
  • Burbank, CA
  • NPI 1740388891
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235407719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 RIVERSIDE DR",
            "address_2": "#362",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022560",
            "telephone_number": "818-563-1449",
            "fax_number": "818-563-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR",
            "address_2": "#406",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054325",
            "telephone_number": "818-563-1449",
            "fax_number": "818-563-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY KONG MD MPH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-563-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A51276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "A8320997",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garo Adomian DDS Inc
• Benedict L Garrett, MD
• Zara Garry
• Ramy Anthony Garsdean
• Gary Demerjian DDS Inc
• Gary L. Arends Jr., D.O. Apc
• Gayane Gasamanyan, PHARMACIST
• Christina Gaser, OTR/L
• Gohar Kristina Gasparyan, D.C.
• Juana Gatson, PHD

• Pulmonary Disease Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.