Individual provider · Type 1 NPI

Cortney Wong Fukuda

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

NPI number 1043987084 Active

Practice location

1985 Zonal Ave
Los Angeles, CA 90089-5305

Call (323) 442-1369 Map

Mailing address

12146 Palmer Dr
Moorpark, CA 93021-8778

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 1043987084

Cortney Wong Fukuda's National Provider Identifier is 1043987084, issued on Aug 26, 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 Aug 26, 2021.