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Lishao Chen

Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).

NPI number1558179556
StatusActive
Last updated in NPPESDec 21, 2024

Details

NPI
1558179556
Entity type
Individual (NPI-1)
Name
Lishao Chen
Sex
Female
Sole proprietor
No
Enumeration date
Dec 21, 2024
Certification date
Dec 21, 2024
Last updated
Dec 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

13315 W Washington Blvd
Los Angeles, CA 90066-5169

Phone 503-998-8350

Mailing address

13315 W Washington Blvd
Los Angeles, CA 90066-5169

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