MEDICARE: DR. HELEN J. KANG PHARM.D.

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	1835P1200X	Pharmacotherapy Pharmacist	54912	CA

General Provider Information

NPI Number	:	1568613156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN J. KANG PHARM.D.

Provider Business Mailing Address
First Line	:	PO BOX 86612
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90086-0612
Country	:	US
Telephone Number	:	323-654-0907
Fax Number	:

Provider Business Practice Location Address
First Line	:	8212 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5913
Country	:	US
Telephone Number	:	323-654-0907
Fax Number	:	323-654-6264

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	10/14/2008

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