Michael Kang Medical Corp

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

MICHAEL KANG MEDICAL CORP

Practice address

3336 S la Cienega Blvd Ste 117
Los Angeles, CA 90016-3115

Phone

(323) 696-0939

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Michael Kang, MDNPI 1104280726

Title

Owner

Phone

(323) 696-0939

Specialties & licenses 1

Addresses

Other names 1

• Nerdy Psychiatrist Doing business as

Locations

Practitioners 1

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

• Michael C Kang, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1104280726

  Child & Adolescent Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1811679293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 S LA CIENEGA BLVD STE 117",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900163115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 S LA CIENEGA BLVD STE 117",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900163115",
            "telephone_number": "323-696-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KANG MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-696-0939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nerdy Psychiatrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael Naderi Chiropractic Corp.
• Michael Ny Ma Dental Corporation
• Michael Okonkwo

• Child & Adolescent Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.