MEDICARE: ANNE C KANG O.D.

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	152W00000X	Optometrist	OPT 11668T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780727875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE C KANG O.D.

Provider Business Mailing Address
First Line	:	29495 MEADOW GLEN WAY W
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-6518
Country	:	US
Telephone Number	:	858-774-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1481 E PLAZA BLVD
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-3613
Country	:	US
Telephone Number	:	619-477-2159
Fax Number	:

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1780694430 — KEDDINGTON & KALRA OPTOMETRISTS APC
Practice Location Address:

1481 E PLAZA BLVD
NATIONAL CITY, CA
91950-3613

Practice Phone: 619-477-2159
Practice Fax: 619-477-2128

1992872691 — DR. JOAN KEDDINGTON O.D.
Practice Location Address:

1481 E PLAZA BLVD
NATIONAL CITY, CA
91950-3613

Practice Phone: 619-477-2159
Practice Fax: 619-477-2128

1124195789 — DR. ANKUR KALRA O.D.
Practice Location Address:

1481 E PLAZA BLVD
NATIONAL CITY, CA
91950-3613

Practice Phone: 619-477-2159
Practice Fax: 619-477-2128

1528126489 — DR. DONALD NEAL FREEMAN O.D.
Practice Location Address:

1481 E PLAZA BLVD
NATIONAL CITY, CA
91950-3613

Practice Phone: 619-477-2159
Practice Fax: 619-477-2128

1649398074 — BRADFORD EMERY D.C.
Practice Location Address:

1463 E PLAZA BLVD
NATIONAL CITY, CA
91950-3613

Practice Phone: 619-474-6800
Practice Fax: 619-474-0623

1134316128 — DR. EMILIA TOLARBA HERNANDEZ DDS
Practice Location Address:

1483 E PLAZA BLVD
NATIONAL CITY, CA
91950-3613

Practice Phone: 619-474-6858
Practice Fax: 619-474-6858

Directions to “ ANNE C KANG O.D.” 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.