MEDICARE: MR. KHANG LAI KHANG

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1508477852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KHANG LAI KHANG

Provider Business Mailing Address
First Line	:	9681 BLAKE AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-2911
Country	:	US
Telephone Number	:	714-837-9120
Fax Number	:

Provider Business Practice Location Address
First Line	:	9681 BLAKE AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-2911
Country	:	US
Telephone Number	:	714-837-9120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2020
Last Update Date	:	08/11/2020

Similar Medicare Providers

1316992886 — LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS
Practice Location Address:

975 FRANKLIN AVE , SUITE 101
GARDEN CITY, NY
11530-2911

Practice Phone: 516-248-8334
Practice Fax:

1083860555 — ANDREA L PARKER MSP, CCC-SLP
Practice Location Address:

2911 IRENE BRIDGE HWY
HICKORY GROVE, SC
29717-8776

Practice Phone: 704-299-2035
Practice Fax:

1336418623 — DR. JACQUELINE ROCHELLE POULOS N.M.D
Practice Location Address:

211 GROVE AVE
PRESCOTT, AZ
86301-2911

Practice Phone: 928-774-1332
Practice Fax: 928-774-0042

1023630894 — SUMMER SOLSTICE 2006 LLC
Practice Location Address:

2911 BRIDGEPORT AVE
COCONUT GROVE, FL
33133-3607

Practice Phone: 305-305-0396
Practice Fax:

1538160783 — NGUYEN TRINH & GRIMES INC
Practice Location Address:

9746 WESTMINSTER AVE , STE D4
GARDEN GROVE, CA
92844-2984

Practice Phone: 714-636-1881
Practice Fax: 714-636-4433

1790787265 — TNL PHARMACY CORPORATION
Practice Location Address:

8883 WESTMINSTER AVE
GARDEN GROVE, CA
92844-2608

Practice Phone: 714-890-0331
Practice Fax: 714-890-1860

Directions to “ MR. KHANG LAI KHANG” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.