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Individual

MS. SUSAN KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 MEDICAL PLAZA, SUITE 214, LOS ANGELES, CA 90095-0001
(310) 794-7788
(310) 206-4197
Mailing address
200 MEDICAL PLAZA, SUITE 214, LOS ANGELES, CA 90095-0001
(310) 794-7788
(310) 206-4197

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP18556
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN649046
CA
Enumeration date
04/29/2009
Last updated
10/30/2012
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