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Kenny Ekachai Vongbunyong
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1871179655

Kenny Ekachai Vongbunyong is a Student in an Organized Health Care Education/Training Program based in Lakewood, CA. Kenny Ekachai Vongbunyong practices in Orange, CA. The NPI Number for Kenny Ekachai Vongbunyong is 1871179655 and holds a License No. (California).

The current practice location address for Kenny Ekachai Vongbunyong is 101 The City Dr S Ste 40, Orange, CA and can be reached out via phone at 714-456-5691.

Location: 101 The City Dr S Ste 40, Orange, CA, 90712-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871179655
Provider Name
Kenny Ekachai Vongbunyong
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 The City Dr S Ste 40, Orange, CA, 90712-1243
Phone Number
714-456-5691
Fax Number
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 The City Dr S Ste 40
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-5691
Fax Number
person
Provider Business Mailing Address Details
Address
101 The City Dr S Ste 40
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-5691
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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