Provider Demographics
NPI:1316731490
Name:EYONG, AKO
Entity type:Individual
Prefix:
First Name:AKO
Middle Name:
Last Name:EYONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28947 THOUSAND OAKS BLVD UNIT 134
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2139
Mailing Address - Country:US
Mailing Address - Phone:805-258-8168
Mailing Address - Fax:
Practice Address - Street 1:30125 AGOURA ROAD
Practice Address - Street 2:SUITE F
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301
Practice Address - Country:US
Practice Address - Phone:805-258-8168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health