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NPI Code Detail

MEDICARE: DANA BAE KANG, MD, INC

MEDICARE: DANA BAE KANG, MD, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/CenterA97267CA

General Provider Information

NPI Number : 1295969780
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANA BAE KANG, MD, INC
Provider Business Mailing Address
First Line : 100 N SANTA ANITA AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3108
Country : US
Telephone Number : 626-821-5998
Fax Number :
Provider Business Practice Location Address
First Line : 100 N SANTA ANITA AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3108
Country : US
Telephone Number : 626-821-5998
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DANA BAE KANG
Credential : MD
Telephone Number : 626-821-5998
Provider Enumeration Date : 05/12/2009
Last Update Date : 12/20/2011

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Directions to “DANA BAE KANG, MD, INC ” Practice Location

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