Individual provider Active NPI

David K Kahng

  • Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1659432870
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
Practice address
4220 W 3Rd St
Suite 102
Los Angeles, CA 90020-3450
Phone
(213) 384-4800
Fax
(213) 384-4811
NPI assigned
Dec 12, 2006
Last updated
Jul 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 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 1

IdentifierTypeStateIssuer
AS385YOtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Serrano Surgery Center PC Current Accepting new patients
Precision Plastic Surgery a Medical Co Plastic Surgery PastSince Dec 1, 2006 Accepting new patients
David K. Kahng, MD, Apc Plastic Surgery Past Accepting new patients

Locations

4220 W 3rd St
Ste 102
Los Angeles, CA 90020
Phone (213) 384-0199

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343520000000",
    "number": "1659432870",
    "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": {
        "last_name": "KAHNG",
        "first_name": "DAVID",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A75005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AS385Y",
            "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.