Jisun Kang

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

33959 Issued in CA

Practice address

400 S Grand Ave
Covina, CA 91724-3464

Phone

(323) 426-6402

NPI assigned

Aug 23, 2017

Sex

Female

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

Locations

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.

• DV Therapy Inc.

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1518363597

  Speech-Language Assistant

  NPD

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1700303609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243464",
            "telephone_number": "323-426-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243464",
            "telephone_number": "323-426-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JISUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "33959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Kahn, OTR/L
• Ivana Firas Kakish
• Nagwa Kaldas, R.P.H.
• Regina Kan
• Aminata Kane
• Stephen Kang, OD
• Irene Kao, PSYD
• Sylvia Kaparos, SLP
• Abhinav Karanam
• Karen Allan Marriage & Family Therapist Inc (Crossroads Family Therapy, Inc.)

• Speech-Language Pathologist in Covina, CA
• Providers in Covina, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.