Organization
VA NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYEON HYE KANG PHARM.D. (PHARMACY RESIDENT)
(858) 880-5058
Entity
Organization
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7000
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5302041049
MI
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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