Individual
EILEEN SWAN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6 VENTURE SUITE 350, IRVINE, CA 92618-1040
(949) 556-9190
(949) 556-9190
Mailing address
PO BOX 54842, IRVINE, CA 92619
(949) 556-9190
(949) 556-9190
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20310
CA
103TR0400X
Rehabilitation Psychologist
PSY20310
CA
Other
Enumeration date
11/09/2006
Last updated
01/14/2020
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