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General NPI Number Information
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NPI Number | 1376789644
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Entity Type | Organization
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Legal Business Name | DAVID K KAHNG MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 07/29/2012
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Provider Practice Location Address
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Address Line | 4220 W 3RD ST SUITE 102
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City | LOS ANGELES
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State | CA
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Zip | 90020-3450
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Country | US
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Telephone | 213-384-4800
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Fax | 213-384-4811
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Provider Business Mailing Address
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Address Line | 4220 W 3RD ST SUITE 102
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City | LOS ANGELES
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State | CA
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Zip | 90020-3450
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Country | US
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Telephone | 213-384-4800
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Fax | 213-384-4811
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID KAMYONG KAHNG
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Credential | M.D.
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Telephone | 213-445-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A75005
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License Number State | CA
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