Healthcare Provider Details

I. General information

NPI: 1982636288
Provider Name (Legal Business Name): JOSEPH I KANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7941 PAINTER AVE
WHITTIER CA
90602-2414
US

IV. Provider business mailing address

PO BOX 9220
WHITTIER CA
90608-9220
US

V. Phone/Fax

Practice location:
  • Phone: 562-360-1530
  • Fax: 562-321-5408
Mailing address:
  • Phone: 562-249-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG34033
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG34033
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: