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Cong Ran
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Santa Monica, California
NPI 1194110700

Cong Ran is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Tarzana, CA and is specialized in Plastic Surgery within the Head & Neck. Cong Ran practices in Santa Monica, CA. The NPI Number for Cong Ran is 1194110700 and holds a License No. A167718 (California).

The current practice location address for Cong Ran is 1317 5Th St Ste 300, Santa Monica, CA and can be reached out via phone at 310-434-0044. You can also correspond with Cong Ran through the mailing address at PO BOX 7001, TARZANA, CA - 91357-7001 (mailing address contact number: 818-888-7815).

Location: 1317 5Th St Ste 300, Santa Monica, CA, 91357-7001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194110700
Provider Name
Cong Ran
Credential
Provider Entity Type
Individual
Gender
Female
Address
1317 5Th St Ste 300, Santa Monica, CA, 91357-7001
Phone Number
310-434-0044
Fax Number
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1317 5Th St Ste 300
City
Santa Monica
State
California
Zip
90401-1433
Phone Number
310-434-0044
Fax Number
person
Provider Business Mailing Address Details
Address
1317 5Th St Ste 300
City
Santa Monica
State
California
Zip
90401-1433
Phone Number
310-434-0044
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
A167718 (California)
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
()
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A167718 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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