person
Shana Stacy Kong, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1215796438

Shana Stacy Kong is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Shana Stacy Kong practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Shana Stacy Kong is 1215796438 and holds a License No. (California).

The current practice location address for Shana Stacy Kong is 1200 N State St # Gh3900, Los Angeles, CA and can be reached out via phone at 323-409-7210.

Location: 1200 N State St # Gh3900, Los Angeles, CA, 90089-1001
person
Provider Profile Details
NPI Number
1215796438
Provider Name
Shana Stacy Kong
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 N State St # Gh3900, Los Angeles, CA, 90089-1001
Phone Number
323-409-7210
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1200 N State St # Gh3900
City
State
Zip
90089-1001
Phone Number
323-409-7210
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N State St # Gh3900
City
State
Zip
90089-1001
Phone Number
323-409-7210
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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