Provider Demographics
NPI:1881001923
Name:KHONG, STEVEN LING-KOK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LING-KOK
Last Name:KHONG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3809
Mailing Address - Country:US
Mailing Address - Phone:707-832-5274
Mailing Address - Fax:707-832-5274
Practice Address - Street 1:3300 BROADWAY
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3809
Practice Address - Country:US
Practice Address - Phone:707-832-5274
Practice Address - Fax:707-832-5274
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist