Individual provider · Type 1 NPI

Ethan Kwong

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

NPI number 1750184602 Active

Practice location

710 Lawrence Expy
Santa Clara, CA 95051-5173

Call (408) 851-1000 Map

Mailing address

839 Shore Breeze Dr
Sacramento, CA 95831-4371

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 1750184602

Ethan Kwong's National Provider Identifier is 1750184602, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Clara, CA. The record was last updated on Apr 22, 2025.