MEDICARE: HUN KANG M.D., INC.

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
1	207Q00000X	Family Medicine Physician	G61497	CA

General Provider Information

NPI Number	:	1104115450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUN KANG M.D., INC.

Provider Business Mailing Address
First Line	:	2900 W 8TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1524
Country	:	US
Telephone Number	:	213-382-7022
Fax Number	:	213-382-7088

Provider Business Practice Location Address
First Line	:	2900 W 8TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1524
Country	:	US
Telephone Number	:	213-382-7022
Fax Number	:	213-382-7088

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HUN KU KANG
Credential	:	M.D.
Telephone Number	:	213-382-7022

Provider Enumeration Date	:	04/06/2011
Last Update Date	:	04/06/2011

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Directions to “HUN KANG M.D., INC. ” Practice Location

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