Kao Tang Ying Moua
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982137923
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1982137923
- Entity type
- Individual (NPI-1)
- Name
- Kao Tang Ying Moua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2017
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
Practice location
1985 Zonal AveLos Angeles, CA 90089-2337
Phone 714-335-3453
Mailing address
Po Box 2633Long Beach, CA 90801-2633
Phone 714-335-3453
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