Organization Active NPI

Dana Bae Kang, MD, Inc

  • Health Service Clinic/Center
  • Arcadia, CA
National Provider Identifier
1295969780
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A97267 Issued in CA
Legal business name
DANA BAE KANG, MD, INC
Practice address
100 N Santa Anita Ave
Arcadia, CA 91006-3108
Phone
(626) 821-5998
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Dana Bae Kang, MD
Title
Owner
Phone
(626) 821-5998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A97267 CA Primary

Addresses

Primary practice location

100 N Santa Anita Ave
Arcadia, CA 91006-3108

Mailing address

100 N Santa Anita Ave
Arcadia, CA 91006-3108
Phone (626) 821-5998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1295969780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SANTA ANITA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063108",
            "telephone_number": "626-821-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA BAE KANG, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "BAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-821-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A97267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.