Brian C. Kang Chiropractic, Inc. | |
1400 N Harbor Blvd Ste 570 Fullerton CA 92835-4144 | |
(714) 758-0119 | |
Not Available |
Full Name | Brian C. Kang Chiropractic, Inc. |
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Speciality | Clinic/Center |
Location | 1400 N Harbor Blvd Ste 570, Fullerton, California |
Authorized Official Name and Position | Brian C. Kang (PRESIDENT) |
Authorized Official Contact | 7147580119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brian C. Kang Chiropractic, Inc. 1400 N Harbor Blvd Ste 570 Fullerton CA 92835-4144 Ph: (714) 758-0119 | Brian C. Kang Chiropractic, Inc. 1400 N Harbor Blvd Ste 570 Fullerton CA 92835-4144 Ph: (714) 758-0119 |
NPI Number | 1346724135 |
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Provider Enumeration Date | 09/18/2018 |
Last Update Date | 09/18/2018 |
Medicare PECOS PAC ID | 6204162639 |
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Medicare Enrollment ID | O20190723003289 |
Identifier | Type | State | Issuer |
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1346724135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Brian C Kang |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831279876 PECOS PAC ID: 9638131816 Enrollment ID: I20041029000909 |
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