Active NPI
Paula Kyonghwa Kang, PHARM.D.
- Ambulatory Care Pharmacist
- Arcadia, CA
National Provider Identifier
1124665294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 81076
- Practice address
- 300 W Huntington Dr
Arcadia, CA 91007-3402 - Phone
- (626) 574-3609
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 81076 | CA | Primary |
Addresses
Primary practice location
300 W Huntington Dr
Arcadia, CA 91007-3402
Mailing address
300 W Huntington Dr
Arcadia, CA 91007-3402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81076 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1124665294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W HUNTINGTON DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W HUNTINGTON DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073402",
"telephone_number": "626-574-3609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "PAULA",
"middle_name": "KYONGHWA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2021-06-16",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "81076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.