Dae-Wook Kang, M.D. Professional Corporation

LBN: Dae-Wook Kang, M.D. Professional Corporation
Dae-Wook Kang, M.D. Professional Corporation is an health care organization with primary practice located at 2000 W. Hedding St. Suite 10, San Jose CA 95128-1426. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Dae-Wook Kang, M.D. Professional Corporation can be contacted via phone (408) 280-5500, or through Kang, Dae-Wook via phone (408) 280-5500.

Contact Information

Primary practice address
2000 W. Hedding St. Suite 10 San Jose CA 95128-1426
Fax: (408) 275-8311
Website:
Authorized official contact:
Name: Kang, Dae-Wook Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X G79486 California

Profile Details

NPI number 1477736650
LBN Legal business name Dae-Wook Kang, M.D. Professional Corporation
DBA Doing business as
Authorized official Kang, Dae-Wook Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Mar 11th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477736650 NPPES
California MEDICAID 00G794860

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