Kevin Guan
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013545136
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1013545136
- Entity type
- Individual (NPI-1)
- Name
- Kevin Guan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Phone 323-783-4516
Mailing address
3393 Ashbourne CirSan Ramon, CA 94583-9113
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