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Dr. Li Sheng Kong, MD
Vascular Surgery Physician in Ventura, California
NPI 1891764775

Li Sheng Kong is a Vascular Surgery Physician based in Ventura, CA and is specialized in Vascular Surgery. Li Sheng Kong practices in Ventura, CA and has the professional credentials of MD. The NPI Number for Li Sheng Kong is 1891764775 and holds a License No. 0101238893 (California).

The current practice location address for Li Sheng Kong is 100 N Brent St, Ventura, CA and can be reached out via phone at 805-663-3330 and via fax at 805-663-3331.

Location: 100 N Brent St, Ventura, CA, 93003-2822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891764775
Provider Name
Li Sheng Kong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 N Brent St, Ventura, CA, 93003-2822
Phone Number
805-663-3330
Fax Number
805-663-3331
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010242452 05 VI
010251877 05 VA
010242517 05 VA
010252695 05 VA
010242487 05 VA
010242424 05 VA
010242479 05 VA
institution
Provider Business Practice Location Address Details
Address
100 N Brent St
City
Ventura
State
California
Zip
93003-2822
Phone Number
805-663-3330
Fax Number
805-663-3331
person
Provider Business Mailing Address Details
Address
100 N Brent St
City
Ventura
State
California
Zip
93003-2822
Phone Number
805-663-3330
Fax Number
805-663-3331
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A99886 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
0101238893 (Virginia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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