Active NPI
John C. Kang, MD, a Professional Corporation
- Surgery Physician
- Fullerton, CA
National Provider Identifier
1669870473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A84086
- Legal business name
- JOHN C. KANG, MD, A PROFESSIONAL CORPORATION
- Practice address
- 1401 S Brookhurst Rd
Suite 111
Fullerton, CA 92833-4471 - Phone
- (714) 626-0301
- Fax
- (323) 373-1555
- NPI assigned
- Dec 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Choongwha Kang, M.D.
- Title
- President
- Phone
- (323) 373-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A84086 | CA | Primary |
Addresses
Primary practice location
1401 S Brookhurst Rd
Suite 111
Fullerton, CA 92833-4471
Mailing address
3130 W Olympic Blvd
Suite 340
Los Angeles, CA 90006-2484
Phone (323) 373-1222
National Provider Directory
National Provider Directory- Tax ID family
- John C Kang MD a Professional Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Oncology Physician
- Los Angeles, CA
- NPI 1104253608
-
- Surgery Physician
- Los Angeles, CA
- NPI 1952702458
Locations
1401 S Brookhurst Rd
Ste 111
Fullerton, CA 92833
Phone (714) 626-0301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418169600000",
"number": "1669870473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 W OLYMPIC BLVD",
"address_2": "SUITE 340",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062484",
"telephone_number": "323-373-1222",
"fax_number": "323-373-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BROOKHURST RD",
"address_2": "SUITE 111",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334471",
"telephone_number": "714-626-0301",
"fax_number": "323-373-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C. KANG, MD, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "CHOONGWHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-373-1222",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A84086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.