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NPI Code Detail

MEDICARE: JOANNA SUN BIE KANG

MEDICARE: JOANNA SUN BIE KANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-20-42251CA
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1013419027
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA SUN BIE KANG
Provider Business Mailing Address
First Line : 30131 TOWN CENTER DR STE 135
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2010
Country : US
Telephone Number : 310-970-2350
Fax Number :
Provider Business Practice Location Address
First Line : 30131 TOWN CENTER DR STE 135
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2010
Country : US
Telephone Number : 310-970-2350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 05/15/2025

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Directions to “ JOANNA SUN BIE KANG ” Practice Location

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