| Shin Wook Kang Medical Center Inc | |
|
2727 W Olympic Blvd Ste 206 Los Angeles CA 90006-2640 | |
| (213) 380-7077 | |
| Not Available |
| Full Name | Shin Wook Kang Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2727 W Olympic Blvd Ste 206, Los Angeles, California |
| Authorized Official Name and Position | Shin W Kang (PRESIDENT) |
| Authorized Official Contact | 2133807077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shin Wook Kang Medical Center Inc 2727 W Olympic Blvd Ste 206 Los Angeles CA 90006-2640 Ph: (213) 380-7077 | Shin Wook Kang Medical Center Inc 2727 W Olympic Blvd Ste 206 Los Angeles CA 90006-2640 Ph: (213) 380-7077 |
| NPI Number | 1639357056 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 10/19/2010 |
| Medicare PECOS PAC ID | 5890737654 |
|---|---|
| Medicare Enrollment ID | O20050523001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639357056 | NPI | - | NPPES |
| 00A655771 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | W15560 (California) | Primary |
| Provider Name | Shin W Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457411209 PECOS PAC ID: 7012977903 Enrollment ID: I20041014000988 |
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