Sungjea Kang, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95032050 Issued in CA

Practice address

7765 Leeds St
Downey, CA 90242-3489

Phone

(562) 674-1714

NPI assigned

Oct 1, 2024

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1063230662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 GREENLAKE LN",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032065",
            "telephone_number": "562-922-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 LEEDS ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423489",
            "telephone_number": "562-674-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SUNGJEA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Kandalaft, DC
• Joan Kanemaru, PT
• Lynn Kaneshiro, M.S., OTR/L, PAM
• CHI Boum Kang, D.D.S., F.A.G.D.
• Erika Youngsoo Kang, PHARM.D.
• Yang Mee Kang
• Ghassan Kantarji, DC
• Chung Hsiu Kao
• Julia Aurora Kao, M.D.
• Samuel Quinn Kaplan

• Psychiatric/Mental Health Nurse Practitioner in Downey, CA
• Providers in Downey, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.