Individual
CELESTE KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-1740
Mailing address
13652 CANTARA ST, MEDICAL BUILDING 4/ 2ND FLOOR, PANORAMA CITY, CA 91402-5423
(818) 375-1740
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A111146
CA
208600000X
Surgery Physician
ME119192
FL
Other
Enumeration date
07/27/2008
Last updated
12/06/2021
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