IndividualActive
Bo Kong, MD
NPI 1083879274 · Pediatrics Physician · La Mirada, CA
Provider details
- NPI number
- 1083879274
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A103792 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12675 La Mirada Blvd Ste 401
La Mirada, CA 90638-2236
Phone: (562) 789-5435
Street-level locationGet directions
Mailing address
12675 La Mirada Blvd Ste 401
La Mirada, CA 90638-2236
Additional practice locations (1)
- 455 S Main StOrange, CA 92868-3835Phone: (714) 997-3000
Registry dates
- Enumerated
- 2008-07-28
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.