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Contact Information

CONG RAN
1317 5TH ST STE 300
SANTA MONICA, CA90401-1433
 Phone: 310-434-0044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CONG RAN · (Female)

NPI # 1194110700
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2015
Last updated 04/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A167718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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