Individual
ANNIE KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706
(714) 834-8787
Mailing address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785258
CA
363LF0000X
Family Nurse Practitioner
Primary
95003893
CA
Other
Enumeration date
01/26/2016
Last updated
08/30/2019
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