Organization Active NPI

Helen H. Kang, M.D., a Professional Medical Corporation

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1740516376
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A103988 Issued in CA
Legal business name
HELEN H. KANG, M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
520 S Virgil Ave
Suite 505
Los Angeles, CA 90020-1416
Phone
(213) 388-3550
Fax
(213) 928-4287
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Dr. Helen Hyun Kang, M.D.NPI 1831367903
Title
C.E.O.
Phone
(213) 388-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A103988 CA Primary

Addresses

Primary practice location

520 S Virgil Ave
Suite 505
Los Angeles, CA 90020-1416

Mailing address

520 S Virgil Ave
Suite 505
Los Angeles, CA 90020-1416
Phone (213) 388-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000698 CA Part B Supplier - Clinic/Group Practice 2860535697 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

2727 W Olympic Blvd
Ste 206
Los Angeles, CA 90006
Phone (213) 380-7077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1740516376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201416",
            "telephone_number": "213-388-3550",
            "fax_number": "213-928-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201416",
            "telephone_number": "213-388-3550",
            "fax_number": "213-928-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN H. KANG, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "213-388-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A103988",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.