Individual provider · Type 1 NPI

Ryan Kirk Gole

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1043890833 Active

Practice location

1200 N State St, Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029

Call (208) 661-8252 Map

Mailing address

1200 North State Street, Clinic Tower, Suite A7D
Los Angeles, CA 90033

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1043890833

Ryan Kirk Gole's National Provider Identifier is 1043890833, issued on Apr 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 14, 2021.