Kang, Soo Woong
Kang, Soo Woong is an sole proprietor health care provider with primary practice located at 6714 Beach Blvd , Buena Park CA 90621-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kang, Soo Woong can be contacted via phone (147) 526-7787.Contact Information
Primary practice address
6714 Beach Blvd
Buena Park CA 90621-3410
Phone: (147) 526-7787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A66630 | California |
Profile Details
| NPI number | 1164577706 |
|---|---|
| LBN Legal business name | Kang, Soo Woong |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Apr 12th, 2019 - about 5 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 | 1164577706 | NPPES |
| California | MEDICAID | 00A666300 |
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