Organization
KANG PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHANG YUN KANG DPT (OWNER)
(805) 205-3667
Entity
Organization
Contact information
Practice address
2112 EASTMAN AVE, SUITE 101, VENTURA, CA 93003-5773
(805) 658-8300
(805) 658-8318
Mailing address
2112 EASTMAN AVE, SUITE 101, VENTURA, CA 93003-5773
(805) 658-8300
(805) 658-8318
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT28081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT28081
LICENSE
CA
01
—
PT28451
LICENSE
CA
Enumeration date
10/19/2006
Last updated
10/06/2014
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