Individual
RICHARD J KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18300 ROSCOE BLVD, PICU DEPARTMENT, NORTHRIDGE, CA 91325-4105
(818) 885-5349
Mailing address
9621 HANNA AVE, CHATSWORTH, CA 91311-4069
(818) 772-2209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A83965
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A83965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A839650
—
CA
Enumeration date
09/14/2006
Last updated
07/24/2008
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