Soo Woong Kang

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A66630 Issued in CA

Practice address

6714 Beach Blvd
Buena Park, CA 90621-3410

Phone

(147) 526-7787

NPI assigned

Jan 24, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

New York Medical College, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Home Care, Inc Home health agency, Buena Park, CA, CCN 058077
• Fast Recovery Home Health Care, Inc Home health agency, Buena Park, CA, CCN 559503

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soo Woong Kang MD Inc

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1689880593
  Medicare reassignment Authorized official
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fast Recovery Home Health Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1639661408
  Care Compare affiliation
• Western Home Care, Inc.

  • Home Health Agency
  • Buena Park, CA
  • NPI 1578581518
  Care Compare affiliation

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1164577706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213410",
            "telephone_number": "714-572-6778",
            "fax_number": "714-752-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213410",
            "telephone_number": "147-526-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SOO",
        "middle_name": "WOONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A666300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaga Home Health, Inc
• Kaga Hospice, Inc
• Kang Nam Acupuncture Inc.
• Julia Juhee Kang, PHARM D
• Sang Yok Kang, L.AC.
• Sungkoo Kang, L. AC.
• Allison Lauren Kaslowski
• KCS, Inc.
• KCS, Inc.
• KCS, Inc.

• Internal Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.