Provider Demographics
NPI:1831319904
Name:KON, PHILANTHA SUE-HWA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PHILANTHA
Middle Name:SUE-HWA
Last Name:KON
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 GRANVILLE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-5419
Mailing Address - Country:US
Mailing Address - Phone:626-390-2028
Mailing Address - Fax:
Practice Address - Street 1:760 WESTWOOD PLAZA, C8-222
Practice Address - Street 2:UCLA SEMEL INSTITUTE FOR NEUROSCIENCE AND HUMAN BEHAVIO
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-784-4006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA988252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry