Individual
CHEICKNA FOFANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 100, LOS ANGELES, CA 90024-7000
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
48587
AL
2085R0202X
Diagnostic Radiology Physician
Primary
A184649
CA
2085R0202X
Diagnostic Radiology Physician
ME144147
FL
Other
Enumeration date
05/03/2018
Last updated
06/06/2024
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