Active NPI
Angela Jihye Kang, PHARM.D.
- Pharmacist
- Pico Rivera, CA
National Provider Identifier
1720416019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69798
- Practice address
- 9256 Slauson Ave
Pico Rivera, CA 90660-4526 - Phone
- (562) 949-5424
- Fax
- (562) 949-7574
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69798 | CA | Primary |
Addresses
Primary practice location
9256 Slauson Ave
Pico Rivera, CA 90660-4526
Mailing address
9256 Slauson Ave
Pico Rivera, CA 90660-4526
Phone (562) 949-5424
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69798 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466812800000",
"number": "1720416019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9256 SLAUSON AVE",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906604526",
"telephone_number": "562-949-5424",
"fax_number": "562-949-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9256 SLAUSON AVE",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906604526",
"telephone_number": "562-949-5424",
"fax_number": "562-949-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "ANGELA",
"middle_name": "JIHYE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2016-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.