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Organization
MARK M. KANG, M.D.
Active
Organization
MARK M. KANG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA S FIERRO (MEDICAL ASSISTANT)
(805) 527-8027
Entity
Organization
Contact information
Practice address
1687 ERRINGER RD STE 103, SIMI VALLEY, CA 93065-6509
(805) 527-8027
(805) 522-7148
Mailing address
1687 ERRINGER RD STE 103, SIMI VALLEY, CA 93065-6509
(805) 527-8027
(805) 522-7148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A32105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A321050
—
CA
Enumeration date
05/15/2008
Last updated
05/15/2008
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