Kang Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

59163 Issued in CA

Legal business name

KANG DENTAL CORPORATION

Practice address

3925 Rosemead Blvd
Suite 203
Rosemead, CA 91770-1933

Phone

(626) 288-0080

Fax

(626) 288-0086

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer C Lee, DDS

Title

Secretatry

Phone

(626) 288-0080

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1215136304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 ROSEMEAD BLVD",
            "address_2": "SUITE 203",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701933",
            "telephone_number": "626-288-0080",
            "fax_number": "626-288-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 ROSEMEAD BLVD",
            "address_2": "SUITE 203",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701933",
            "telephone_number": "626-288-0080",
            "fax_number": "626-288-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETATRY",
        "authorized_official_telephone_number": "626-288-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59163",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K N Pharmacy
• K Phun Medical Clinic Inc
• Sanjida Kabir
• Joan Elizabeth Kailany, WHNP
• Kalpesh Bhavsar MD Professional Corporation
• Chen-En Kang, D.C.
• Miriam Kang
• Peggy Y Kang, D.D.S.
• Stephanie Kang
• Kangtai Clinic

• Dentist in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.