| Deno D Kang M D Inc | |
|
18102 Pioneer Blvd Suite 204 Artesia CA 90701-3953 | |
| (562) 402-9801 | |
| (562) 402-9802 |
| Full Name | Deno D Kang M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18102 Pioneer Blvd, Artesia, California |
| Authorized Official Name and Position | Jin Kang (OFFICE MANAGER) |
| Authorized Official Contact | 7143198976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deno D Kang M D Inc 18102 Pioneer Blvd Suite 204 Artesia CA 90701-3953 Ph: (562) 402-9801 | Deno D Kang M D Inc 18102 Pioneer Blvd Suite 204 Artesia CA 90701-3953 Ph: (562) 402-9801 |
| NPI Number | 1093136087 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 07/03/2014 |
| Medicare PECOS PAC ID | 2163650839 |
|---|---|
| Medicare Enrollment ID | O20140103000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093136087 | NPI | - | NPPES |
| 00A602880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A60288 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | A60288 (California) | Primary |
| Provider Name | Deno D Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265428916 PECOS PAC ID: 9133198096 Enrollment ID: I20040928000285 |
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