Individual provider Active NPI

Sung-Hae Kang, PH.D.

  • Clinical Cytogenetics Physician
  • Los Angeles, CA
National Provider Identifier
1225592793
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X
License
MTO01010143 Issued in CA
Practice address
10833 Le Conte Avenue
Department of Pathology & Laboratory Medicine
Los Angeles, CA 90095
Phone
(310) 794-2252
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics Physician 207SG0203X MTP02012971 CA
Clinical Cytogenetics Physician 207SC0300X MTO01010143 CA Primary

Addresses

Primary practice location

10833 Le Conte Avenue
Department of Pathology & Laboratory Medicine
Los Angeles, CA 90095

Mailing address

1010 Veteran Ave
West Medical Building - Cytogenetics Lab (#22-26)
Los Angeles, CA 90095
Phone (310) 825-9352

Other practice location 1

1010 Veteran Ave
West Medical Building - Cytogenetics Lab (#22-26)
Los Angeles, CA 90095
Phone (310) 825-9352

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 Philosophy

State licenses

LicenseStateTypeSpecialty
MTO01010143CAMDClinical Cytogenetics Physician
MTP02012971CAMDClinical Molecular Genetics Physician

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1225592793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 VETERAN AVE",
            "address_2": "WEST MEDICAL BUILDING - CYTOGENETICS LAB (#22-26)",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVENUE",
            "address_2": "DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-794-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Veteran Ave",
            "address_2": "West Medical Building - Cytogenetics Lab (#22-26)",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90095",
            "country_code": "US",
            "telephone_number": "310-825-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "SUNG-HAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CA",
            "license": "MTP02012971",
            "primary": false
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CA",
            "license": "MTO01010143",
            "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 Jan 29, 2019; 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.