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
Phone: (805) 527-8027
Fax: (805) 584-3809
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114914157 | NPPES |
| California | MEDICAID | 00A321050 |
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