Individual
MINA RIM KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 453-1324
(424) 212-5921
Mailing address
2121 SANTA MONICA BLVD, PROVIDENCE ST. JOHN'S HEALTH CENTER, SANTA MONICA, CA 90404-2303
(310) 829-8858
(424) 212-5921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A114952
CA
208000000X
Pediatrics Physician
A114952
CA
208M00000X
Hospitalist Physician
Primary
A114952
CA
Other
Enumeration date
07/06/2009
Last updated
04/15/2021
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