person
Jack Fang
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1437842978

Jack Fang is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Jack Fang practices in Los Angeles, CA. The NPI Number for Jack Fang is 1437842978 and holds a License No. (California).

The current practice location address for Jack Fang is 714 Tiverton Ave, Los Angeles, CA and can be reached out via phone at 131-020-6390.

Location: 714 Tiverton Ave, Los Angeles, CA, 90024-6609
person
Provider Profile Details
NPI Number
1437842978
Provider Name
Jack Fang
Credential
Provider Entity Type
Individual
Gender
Male
Address
714 Tiverton Ave, Los Angeles, CA, 90024-6609
Phone Number
131-020-6390
Fax Number
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
714 Tiverton Ave
City
State
Zip
90095-8361
Phone Number
131-020-6390
Fax Number
person
Provider Business Mailing Address Details
Address
714 Tiverton Ave
City
State
Zip
90095-8361
Phone Number
131-020-6390
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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