Kang, Mark M

Kang, Mark M is an individual health care provider with primary practice located at 2750 Sycamore Dr Ste 209, Simi Valley CA 93065-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kang, Mark M can be contacted via phone (805) 527-8027.

Contact Information

Primary practice address
2750 Sycamore Dr Ste 209 Simi Valley CA 93065-1502
Fax: (805) 584-3809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A32105 California

Profile Details

NPI number 1114914157
LBN Legal business name Kang, Mark M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 17 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 1114914157 NPPES
California MEDICAID 00A321050

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