Individual provider · Type 1 NPI

Bagieng Keophimphone, MD

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

NPI number 1659174134 Active

Practice location

1000 W Carson St # 10
Torrance, CA 90502-2059

Call (424) 306-8008 Map

Mailing address

2697 Omaha Ave
Clovis, CA 93619-8478

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 1659174134

Bagieng Keophimphone, MD's National Provider Identifier is 1659174134, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Torrance, CA. The record was last updated on Mar 31, 2025.