Individual
JUNGMIN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
300 PASTEUR DR # A160, PALO ALTO, CA 94305-2200
(650) 725-4672
Mailing address
300 PASTEUR DR, STANFORD, CA 94305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717640
CA
363L00000X
Nurse Practitioner
Primary
95007388
CA
363LA2100X
Acute Care Nurse Practitioner
95007388
CA
Other
Enumeration date
04/24/2017
Last updated
03/17/2018
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