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Individual

DR. SOO JI KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DOCTORATE

Contact information

Practice address
8700 BEVERLY BLVD # 8211, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1839
Mailing address
8700 BEVERLY BLVD RM 8211, WEST HOLLYWOOD, CA 90048-1804

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001806
CA

Other

Enumeration date
06/28/2022
Last updated
06/23/2024
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