IndividualActive
Cong Ran
NPI 1194110700 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Santa Monica, CA
Provider details
- NPI number
- 1194110700
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- A167718 (CA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense A167718 (CA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1317 5th St Ste 300
Santa Monica, CA 90401-1433
Phone: (310) 434-0044
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7001
Tarzana, CA 91357-7001
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2021-04-06
- Certified
- 2021-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.