Organization Active NPI

Joseph I Kang MD Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1003000811
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G34033 Issued in CA
Legal business name
JOSEPH I KANG MD INC
Practice address
3755 Beverly Blvd
Ste 301
Los Angeles, CA 90004-3539
Phone
(323) 664-7777
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph I Kang, MD
Title
Doctor
Phone
(323) 664-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G34033 CA Primary

Addresses

Primary practice location

3755 Beverly Blvd
Ste 301
Los Angeles, CA 90004-3539

Mailing address

3755 Beverly Blvd
Ste 301
Los Angeles, CA 90004-3539
Phone (323) 664-7777

Other identifiers 1

IdentifierTypeStateIssuer
00G340332MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1003000811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BEVERLY BLVD",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043539",
            "telephone_number": "323-664-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BEVERLY BLVD",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043539",
            "telephone_number": "323-664-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH I KANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "323-664-7777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G34033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G340332",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.