Kang, Iksoo

Kang, Iksoo is an individual health care provider with primary practice located at 101 E Valencia Mesa Dr Em Dept, Fullerton CA 92835-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kang, Iksoo can be contacted via phone (714) 992-3965.

Contact Information

Primary practice address
101 E Valencia Mesa Dr Em Dept Fullerton CA 92835-3809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A70734 California

Profile Details

NPI number 1093758393
LBN Legal business name Kang, Iksoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 11th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093758393 NPPES
California MEDICAID 00A707340
California Other 00A707340
California Other A70734

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