Individual
ANDREW JI KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 E 28TH ST, LONG BEACH, CA 90806-2759
(562) 294-3315
Mailing address
1061 N DOWNING ST, ANAHEIM, CA 92805-1612
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
55750
CA
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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