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General NPI Number Information
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NPI Number | 1437659778
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Entity Type | Individual
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Provider Name | YOUNG IL KANG MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 07/09/2023
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Provider Practice Location Address
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Address Line | 4610 X ST STE 1202
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City | SACRAMENTO
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State | CA
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Zip | 95817-2200
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Country | US
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Telephone | 171-433-5935
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Fax | 714-335-9353
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Provider Business Mailing Address
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Address Line | 950 TENNESSEE ST UNIT 213
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-4140
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Country | US
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Telephone | 714-335-9353
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A179014
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License Number State | CA
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