John C. Kang, MD, a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A84086 Issued in CA

Legal business name

JOHN C. KANG, MD, A PROFESSIONAL CORPORATION

Practice address

3130 W Olympic Blvd
Suite 340
Los Angeles, CA 90006-2484

Phone

(310) 431-7902

NPI assigned

Sep 16, 2014

Last updated

Sep 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Choongwha Kang, M.D.NPI 1669531463

Title

President

Phone

(310) 431-7902

Specialties & licenses 2

Addresses

Tax ID family

John C Kang MD a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• John C. Kang, MD, a Professional Corporation

  • Surgical Oncology Physician
  • Los Angeles, CA
  • NPI 1104253608
  NPD tax ID
• John C. Kang, MD, a Professional Corporation

  • Surgery Physician
  • Fullerton, CA
  • NPI 1669870473
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Choongwha Kang, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1669531463
  NPD (past) Authorized official

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1952702458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HOGAN CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312070",
            "telephone_number": "310-431-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD",
            "address_2": "SUITE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "310-431-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. KANG, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHOONGWHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-431-7902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A84086",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A84086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Chang MD PC
• John F. Diaz, M.D., a Professional Corporation
• John F. Vanore, MD a Medical Corporation
• John G Frazee MD a Professional Corporation

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.