Individual
HYUN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 547-5437
(707) 547-5430
Mailing address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 547-5437
(707) 547-5430
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301082719
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C54908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45S8848
—
MI
01
—
CA2184
RAILROAD MEDICARE
MI
Enumeration date
01/25/2006
Last updated
11/03/2021
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