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Can I work in a private hospital in Hong Kong without a Hong Kong ID card

Of course.

According to Sina Finance, medical practitioners have no identity. Anyone who is a Hong Kong resident or holds a Hong Kong work visa can work in Hong Kong, and medical practitioners need a medical license issued by Hong Kong.

Foreigners can work legally in Hong Kong, whether they hold Hong Kong identity cards or not, as long as they meet the employment conditions and visa requirements.