NPI 1629759857

Mario Khong, DNP

Practitioner Certified Registered Nurse Anesthetist Redlands, CA

Practice location

Address: 1900 Clementine St, Redlands, CA 92374-1615
Phone: (714) 589-4507

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 95002186 (CA)

Other Nurse Anesthetist, Certified Registered providers in California →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 95076500 (CA)

Other Registered Nurse providers in California →

Registry record

NPI: 1629759857
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2023
Record last updated: 13 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.