Active NPI
Sung Ku Kang
- Pharmacist
- Gardena, CA
National Provider Identifier
1891384491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83559
- Practice address
- 2169 W Redondo Beach Blvd
Gardena, CA 90247-3625 - Phone
- (310) 515-3783
- NPI assigned
- Jan 18, 2021
- Sex
- Male
- 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 | 83559 | CA | Primary |
Addresses
Primary practice location
2169 W Redondo Beach Blvd
Gardena, CA 90247-3625
Mailing address
21016 Amie Ave Apt 15
Torrance, CA 90503-7600
Other practice location 1
402 E 2nd St
Los Angeles, CA 90012-4209
Phone (213) 680-4011
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Tokyo Pharmacy, Inc. | Pharmacist | Current | Accepting new patients |
| Little Tokyo Pharmacy, Inc. | Current | Accepting new patients |
Locations
402 E 2nd St
Los Angeles, CA 90012
Phone (213) 680-4011
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.
-
- Long Term Care Pharmacy
- Los Angeles, CA
- NPI 1356092084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615680000000",
"number": "1891384491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21016 AMIE AVE APT 15",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905037600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473625",
"telephone_number": "310-515-3783"
}
],
"practiceLocations": [
{
"address_1": "402 E 2nd St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900124209",
"country_code": "US",
"telephone_number": "213-680-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "SUNG KU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-18",
"last_updated": "2021-03-14",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.