Organization Active NPI

David K Kahng MD a Professional Corporation

  • Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1376789644
Registry record updated Jul 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A75005 Issued in CA
Legal business name
DAVID K KAHNG MD A PROFESSIONAL CORPORATION
Practice address
4220 W 3Rd St
Suite 102
Los Angeles, CA 90020-3450
Phone
(213) 384-4800
Fax
(213) 384-4811
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2012

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

Authorized official

Name
Dr. David Kamyong Kahng, M.D.
Title
President
Phone
(213) 445-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A75005 CA Primary

Addresses

Primary practice location

4220 W 3Rd St
Suite 102
Los Angeles, CA 90020-3450

Mailing address

4220 W 3Rd St
Suite 102
Los Angeles, CA 90020-3450
Phone (213) 384-4800

Other identifiers 2

IdentifierTypeStateIssuer
WA75005BOtherCAMEDICARE PPIN
BT081AOtherCAPTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343520000000",
    "number": "1376789644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-384-4800",
            "fax_number": "213-384-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-384-4800",
            "fax_number": "213-384-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K KAHNG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2012-07-29",
        "status": "A",
        "authorized_official_last_name": "KAHNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KAMYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-445-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A75005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPIN",
            "identifier": "WA75005B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BT081A",
            "state": "CA"
        }
    ],
    "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 Jul 29, 2012; 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.