Individual
DR. HO HENRY KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
816 W YOSEMITE AVE, SUITE 102, MADERA, CA 93637-4587
(559) 674-7054
(559) 674-4080
Mailing address
816 W YOSEMITE AVE, SUITE 102, MADERA, CA 93637-4587
(559) 674-7054
(559) 674-4080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A46410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A464101
—
CA
01
—
A46410
STATE LICENSE
CA
Enumeration date
07/13/2005
Last updated
10/24/2011
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