Individual
JAY KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(714) 279-4611
(714) 279-5524
Mailing address
6650 ALTON PKWY, IRVINE, CA 92618-3734
(949) 932-2142
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A78542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201890010
—
NV
Enumeration date
07/04/2006
Last updated
12/02/2021
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