Xiaodong Gong, MFT-TRAINEE is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Xiaodong Gong is licensed to practice in * (Not Available) (license number ) and her current practice location is
1310 Wilshire Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 383-3146.
NPI number for Xiaodong Gong is 1134905003 and her current mailing address is 1310 Wilshire Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134905003.
Healthcare Provider's Profile
Full Name | Xiaodong Gong |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1310 Wilshire Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134905003
- Provider Enumeration Date: 09/06/2023
- Last Update Date: 09/06/2023
Medical Identifiers
Medical identifiers for Xiaodong Gong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134905003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Xiaodong Gong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Xiaodong Gong, MFT-TRAINEE 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 Ph: () - | Xiaodong Gong, MFT-TRAINEE 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 Ph: (213) 383-3146 |
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