Susannah Kim Kang X, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17274 Issued in CA

Practice address

9872 Chapman Ave
Suite #114
Garden Grove, CA 92841-2737

Phone

(714) 408-1169

Fax

(714) 408-1169

NPI assigned

Nov 12, 2016

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Life & Health Acupuncture & Herbs

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1639611395
  NPD (past) Authorized official

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1285176941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S FLOWER ST UNIT 16",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683458",
            "telephone_number": "714-408-1169",
            "fax_number": "714-408-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9872 CHAPMAN AVE",
            "address_2": "SUITE #114",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412737",
            "telephone_number": "714-408-1169",
            "fax_number": "714-408-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SUSANNAH",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "name_suffix": "X",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-12",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyun K Kang, D.P.M.
• Jaskarn Singh Kang
• Jean Kang
• Mi Ak Kang
• Preston Kang, MA, BCBA
• Ye-Rin Kang
• Anil Kanwar
• Gary Chinghuei Kao, MD
• Katherine Karayianis
• Karen Netherlain

• Acupuncturist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.