Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Phong, NP

Individual provider Hematology & Oncology Physician · NPI 1942740899

Kenneth Phong, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2016, 10 years ago. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone: (310) 825-6301
Fax: (310) 825-7473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95006058 (CA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 95006058 (CA)

Record details

NPI number1942740899
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 26, 2017
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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