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General NPI Number Information
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NPI Number | 1104115450
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Entity Type | Organization
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Legal Business Name | HUN KANG M.D., INC.
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 2900 W 8TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90005-1524
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Country | US
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Telephone | 213-382-7022
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Fax | 213-382-7088
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Provider Business Mailing Address
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Address Line | 2900 W 8TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90005-1524
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Country | US
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Telephone | 213-382-7022
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Fax | 213-382-7088
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUN KU KANG
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Credential | M.D.
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Telephone | 213-382-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G61497
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License Number State | CA
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