Jonghan Kang, L.AC., PH.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16982 Issued in CA

Practice address

1321 N Harbor Blvd Ste 205
Fullerton, CA 92835

Phone

(866) 553-4515

Fax

(860) 631-2785

NPI assigned

Sep 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Pure Wave Medical Group Inc

  • Acupuncturist
  • Brea, CA
  • NPI 1477900231
  NPD Authorized official

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1467820571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD STE 205",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354130",
            "telephone_number": "866-553-4115",
            "fax_number": "860-631-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD STE 205",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "866-553-4515",
            "fax_number": "860-631-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JONGHAN",
        "name_prefix": "Dr.",
        "credential": "L.AC., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "56189",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byung Ju Kang, DDS
• Elizabeth Kang
• Iksoo Kang, MD
• Jennifer Kang, PHARMD
• Ji Hye Kang, PSY.D.
• Hsuan Chun Kao
• Michael Chan-Wei Kao
• Jaelene Kapu
• Rita Kar, M.D.
• Dila Karaalp

• Acupuncturist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.