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Kevin Thien Ong

Student in an Organized Health Care Education/Training Program in Colton, CA. Individual provider (NPI-1).

NPI number1003663824
StatusActive
Last updated in NPPESFeb 4, 2026

Details

NPI
1003663824
Entity type
Individual (NPI-1)
Name
Kevin Thien Ong
Sex
Male
Sole proprietor
No
Enumeration date
Apr 30, 2024
Certification date
Feb 4, 2026
Last updated
Feb 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2084P0800X Psychiatry & Neurology, Psychiatry20A24935CA

Practice location

400 N Pepper Ave
Colton, CA 92324-1819

Phone 510-525-6927

Mailing address

400 N Pepper Ave
Colton, CA 92324-1819

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