| Sophia Kang | |
|
1440 N Harbor Blvd Ste 900 Fullerton CA 92835-4122 | |
| (657) 443-4860 | |
| Not Available |
| Full Name | Sophia Kang |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1440 N Harbor Blvd Ste 900, Fullerton, California |
| Authorized Official Name and Position | Sophia Kang (SOLE PROPRIETOR) |
| Authorized Official Contact | 6574434860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Kang 1440 N Harbor Blvd Ste 900 Fullerton CA 92835-4122 Ph: (657) 443-4860 | Sophia Kang 1440 N Harbor Blvd Ste 900 Fullerton CA 92835-4122 Ph: (657) 443-4860 |
| NPI Number | 1285234476 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285234476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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