Soo Woong Kang in Buena Park - Internal Medicine
Soo Woong Kang - NPI 1164577706
Soo Woong Kang is a Internal Medicine in Buena Park, California. Soo Woong Kang practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Soo Woong Kang is 1164577706. The last update date is 2019-04-12.
Soo Woong Kang's current location address is 6714 Beach Blvd, Buena Park, California. You can contact this provider via phone number 7145726778 and fax number 7147526809. The mailing address for Soo Woong Kang is 6714 Beach Blvd, Buena Park, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Soo Woong Kang |
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Address | 6714 Beach Blvd, Buena Park, California |
Phone Number | 7145726778 |
Fax Number | 7147526809 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1164577706 |
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Provider Enumeration Date | 2007-01-24 |
Last Updated Date | 2019-04-12 |
Provider Mailing Address Detail
Address | 6714 Beach Blvd |
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City | Buena Park |
State | California (CA) |
Post Code | 906213410 |
Phone Number | 7145726778 |
Fax Number | 7147526809 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | A66630 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00A666300 | CA | -- |
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What is the unique 10-digit identifier code assigned to Soo Woong Kang by the Centers for Medicare & Medicaid Services?
The Soo Woong Kang has been issued the NPI (National Provider Identifier) 1164577706 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Soo Woong Kang's physical address?
The Soo Woong Kang is physically located at 6714 Beach Blvd, in the city of Buena Park, CA, with the postal code 906213410.
What is Soo Woong Kang's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Soo Woong Kang's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Soo Woong Kang receive its 1164577706 assignment from the Centers for Medicare & Medicaid Services?
The Soo Woong Kang was assigned its 1164577706 by the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the Soo Woong Kang's details last updated?
The information pertaining to the Soo Woong Kang, including its address, specialty, and other details, was most recently updated on 2019-04-12.