Kyu Soo Kang is a Dentist in La Palma, California. Kyu Soo Kang practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kyu Soo Kang is 1376758847. The last update date is 2007-07-08.
Kyu Soo Kang's current location address is 4887 La Palma Ave, La Palma, California. You can contact this provider via phone number 7147786614. The mailing address for Kyu Soo Kang is 4887 La Palma Ave, La Palma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyu Soo Kang |
|---|---|
| Address | 4887 La Palma Ave, La Palma, California |
| Phone Number | 7147786614 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376758847 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4887 La Palma Ave |
|---|---|
| City | La Palma |
| State | California (CA) |
| Post Code | 906232019 |
| Phone Number | 7147786614 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DD034980 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B34980 | CA | DENTICAL |
Post Comment/ Review Below
What is the Kyu Soo Kang's 1376758847?
The Kyu Soo Kang's NPI (National Provider Identifier) Number is 1376758847. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kyu Soo Kang's facilities are situated?
The facilities of Kyu Soo Kang are physically located at the following address: 4887 La Palma Ave, La Palma, CA, 906232019.
What is the Kyu Soo Kang's specialty and taxonomy code?
The Kyu Soo Kang's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Kyu Soo Kang's 1376758847 issued?
The Kyu Soo Kang's 1376758847 was issued on 2007-05-10.
As of what date were the Kyu Soo Kang's details last updated?
The information pertaining to the Kyu Soo Kang, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1023014131
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