Judy Jisook Kong, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN194450 Issued in CA

Practice address

15446 Parthenia St
North Hills, CA 91343-5108

Phone

(818) 891-1616

Fax

(818) 895-2706

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386714350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18526 ENTRADA CT",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261936",
            "telephone_number": "818-360-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 PARTHENIA ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435108",
            "telephone_number": "818-891-1616",
            "fax_number": "818-895-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "JUDY",
        "middle_name": "JISOOK",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN194450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Meagan Kim
• Tae Hyun Kim, L.AC.
• Kristina Klara, MD
• Nina Cutrone Knitowski
• Michael Kohan-Ghadosh, DDS
• Grigor Kosoyan
• Farial Kosten, MSW
• Karin Koukeyan
• Jitendra Kuckreja
• Jaime Alexis Kuhle, MFT

• Women's Health Nurse Practitioner in North Hills, CA
• Providers in North Hills, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.