Mark M. Kang, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A32105 Issued in CA

Legal business name

MARK M. KANG, M.D.

Practice address

1687 Erringer Rd Ste 103
Simi Valley, CA 93065-6509

Phone

(805) 527-8027

Fax

(805) 522-7148

NPI assigned

May 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sheila S Fierro

Title

Medical Assistant

Phone

(805) 527-8027

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1730356973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656509",
            "telephone_number": "805-527-8027",
            "fax_number": "805-522-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656509",
            "telephone_number": "805-527-8027",
            "fax_number": "805-522-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M. KANG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "FIERRO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "805-527-8027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A321050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.