Individual
DR. RICHARD KANGAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3606 HIGHLAND AVE 108, HIGHLAND, CA 92346-2608
(909) 864-1006
(909) 864-1625
Mailing address
3606 HIGHLAND AVE 108, HIGHLAND, CA 92346-2608
(909) 864-1006
(909) 864-1625
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A55122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A551220
—
CA
Enumeration date
06/04/2006
Last updated
01/27/2017
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