Timheong Kong
Individual provider Active NPI Registered Dietitian · SF, CA
NPI 1346926219 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1346926219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86112521 (CA)
- Practice address
- 151 Habitat Ter
SF, CA 94112 - Phone
- (415) 509-0446
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86112521 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86112521 | CA | Yes |
Addresses
Primary practice location
151 Habitat Ter
SF, CA 94112
Mailing address
151 Habitat Ter
SF, CA 94112
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All providers in SF, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.