Individual
DR. KASEJA KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
3530 POMONA BLVD, POMONA, CA 91768-3238
(909) 595-1221
Mailing address
1600 9TH ST, ROOM 205 MAILSTOP 2-3, SACRAMENTO, CA 95814-6414
(916) 654-2431
(916) 654-3186
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 9417
CA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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