Individual
ANNE C KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1481 E PLAZA BLVD, NATIONAL CITY, CA 91950-3613
(619) 477-2159
Mailing address
29495 MEADOW GLEN WAY W, ESCONDIDO, CA 92026-6518
(858) 774-5111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 11668T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0116680
—
CA
Enumeration date
02/15/2007
Last updated
07/08/2007
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