Jennifer Kang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005966 Issued in CA

Practice address

11402 South St
Cerritos, CA 90703-6611

Phone

(562) 865-0802

NPI assigned

Mar 21, 2017

Sex

Female

Sole proprietor

No

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1174054381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18727 GODINHO AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036611",
            "telephone_number": "562-865-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Kamenwa, LVN
• Lydiah W Kamenwa, RDHAP
• Arlene Bulos Kamppila, D.D.S.
• Hyo Jeong Kang, L. AC.
• Jee Yun Kang
• Xin Kang, M.D.
• Kelly Kao, RD
• Marcia Haulani Kapuniai, LCSW
• George Karamigios, M.D.
• Samantha Lara Karay

• Family Nurse Practitioner in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.