HEEJUN KONG
NPI 1174457550
Nurse Practitioner - Family in Los Angeles, CA

Active since June 10, 2026
11645 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90025(424) 202-2585 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heejun Kong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEEJUN KONG (NPI 1174457550) is an individual family provider in Los Angeles, California, licensed in California (95039429) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1174457550
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEEJUN KONG
Location Address11645 WILSHIRE BLVD STE 800Los Angeles, CA 90025-6811
Mailing Address1518 Federal Ave Ph 15Los Angeles, CA 90025-6373 · (424) 202-2585
Sole ProprietorYes
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
NPI 1174457550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95039429
11645 WILSHIRE BLVD STE 800, Los Angeles, CA 90025

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
11645 WILSHIRE BLVD STE 800
LOS ANGELES, CA 90025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heejun Kong's NPI number?

The NPI number for Heejun Kong is 1174457550. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Heejun Kong located?

Heejun Kong practices at 11645 Wilshire Blvd Ste 800, Los Angeles, CA 90025. The listed phone number is (424) 202-2585.

What is Heejun Kong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Heejun Kong was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.