Organization Active NPI

John C. Kang, MD, a Professional Corporation

  • Surgical Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1104253608
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A84086 Issued in CA
Legal business name
JOHN C. KANG, MD, A PROFESSIONAL CORPORATION
Practice address
1300 N Vermont Ave
Health Care Consultation Ctr; Doctors Tower 1St Floor
Los Angeles, CA 90027-6005
Phone
(323) 913-4350
NPI assigned
Sep 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. John Choongwha Kang, M.D.
Title
President
Phone
(310) 431-7902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X A84086 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
Health Care Consultation Ctr; Doctors Tower 1St Floor
Los Angeles, CA 90027-6005

Mailing address

1901 S Hogan CT
La Habra, CA 90631-2070
Phone (310) 431-7902

National Provider Directory

National Provider Directory
Tax ID family
John C Kang MD a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5832 Beach Blvd
Unit 209
Buena Park, CA 90621
Phone (714) 522-1333

3130 W Olympic Blvd
Ste 340
Los Angeles, CA 90006
Phone (213) 289-3881

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1104253608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HOGAN CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312070",
            "telephone_number": "310-431-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "HEALTH CARE CONSULTATION CTR; DOCTORS TOWER 1ST FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-913-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. KANG, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHOONGWHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-431-7902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A84086",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 2014; 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.