Individual
SUNGJEA KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
7765 LEEDS ST, DOWNEY, CA 90242-3489
(562) 674-1714
Mailing address
16405 GREENLAKE LN, CERRITOS, CA 90703-2065
(562) 922-9275
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032050
CA
Other
Enumeration date
10/01/2024
Last updated
03/18/2025
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