Healthcare Provider Details

I. General information

NPI: 1740159797
Provider Name (Legal Business Name): YANG MEE KANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 IMPERIAL HWY
DOWNEY CA
90242-3456
US

IV. Provider business mailing address

7601 IMPERIAL HWY
DOWNEY CA
90242-3456
US

V. Phone/Fax

Practice location:
  • Phone: 562-385-7111
  • Fax: 562-385-6383
Mailing address:
  • Phone: 562-385-7111
  • Fax: 562-385-6383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number628519
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: