Yongho Kevin Kang, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

55612 Issued in CA

Practice address

11506 Broadway
Whittier, CA 90601-3105

Phone

(562) 695-8718

Fax

(562) 692-4006

NPI assigned

Aug 16, 2007

Sex

Male

Sole proprietor

No

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

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.

• Thomas R Gonzales, D.D.S.

  • Customized Equipment (DME)
  • Whittier, CA
  • NPI 1043530736
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1649462268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 E BROADWAY",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013105",
            "telephone_number": "562-695-8718",
            "fax_number": "562-692-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 BROADWAY",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013105",
            "telephone_number": "562-695-8718",
            "fax_number": "562-692-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "YONGHO",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June T. Kaneoka, D.D.S.
• Alex Min Koo Kang
• Gloria Kang
• Hongeun Kang, OTR
• Joseph I Kang, MD
• Tanya Kantak, DO
• Paul Michihide Kanzawa, CO
• Diana Hwa Kao, L.AC.
• Rachel Deanna Kaplan, D.O.
• Hraj Karajian

• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.