SOO WOONG KANG (NPI# 1164577706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164577706 |
| Entity Type | Individual |
| Full Name | SOO WOONG KANG |
| Practice Address |
6714 Beach Blvd Buena Park CA 90621-3410 |
| Practice Telephone | 1475267787 |
| Mailing Telephone | 7145726778 |
| Mailing Fax Number | 7147526809 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A66630 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A666300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093093924 | Soo Kyong Kang | Acupuncturist | 60 Radford St, Staten Island, NY 10314-4812 | 2011-07-26 |
| 1336395821 | Soo Kang | Dentist | 140 Prospect Ave Ste 1, Hackensack, NJ 07601-2257 | 2008-08-15 |
| 1356983670 | Soo Kang | Registered Nurse | 7273 14th Ave Ste 120b, Sacramento, CA 95820-3500 | 2019-10-09 |
| Street Address |
6714 BEACH BLVD |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932601952 | Jieun Sim | Nurse Practitioner | 6714 Beach Blvd, Buena Park, CA 90621-3410 | 2018-03-06 |
| 1992983928 | Devi S. Nambudripad | Chiropractor | 6714 Beach Blvd, Buena Park, CA 90621-3410 | 2008-01-31 |
| 1376732867 | Roy Ajit Nambudripad | Pathology | 6714 Beach Blvd, Buena Park, CA 90621-3410 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699119438 | Simon Sau-yan Cheng | Internal Medicine | 5540 Emerywood Dr, Buena Park, CA 90621-1606 | 2013-04-23 |
| 1225100753 | Felicia Kim Tran | Internal Medicine | 6301 Beach Blvd Ste 101, Buena Park, CA 90621-4030 | 2006-11-13 |
| 1902917156 | Scc Medical Center Inc | Internal Medicine | 7232 Orangethorpe Ave, Buena Park, CA 90621-3312 | 2006-08-31 |
| 1184685893 | Richard Gonzales | Internal Medicine | 8585 Knott Ave, #101, Buena Park, CA 90620 | 2006-03-31 |
| 1790758647 | Hoon Gi Hong | Internal Medicine | 5832 Beach Blvd Unit 214, Buena Park, CA 90621-5501 | 2006-02-10 |
| 1255853768 | Genus Medical Group | Internal Medicine | 6301 Beach Blvd, Suite #101, Buena Park, CA 90621 | 2017-07-17 |
| 1811140536 | Lc Medical & Dental Center | Internal Medicine | 5825 Lincoln Ave, Suite H, Buena Park, CA 90620-3463 | 2008-10-25 |
| 1003067877 | Applecare Medical Group | Internal Medicine | 6131 Orangethorpe Ave, Suite 280, Buena Park, CA 90620-1315 | 2008-10-09 |
| 1063609097 | Soledad O Lee | Internal Medicine | 6888 Lincoln Ave, Ste M, Buena Park, CA 90620-4107 | 2007-10-03 |
| 1366514655 | Edgardo Gonzalez | Internal Medicine | 6301 Beach Blvd, Suite 101, Buena Park, CA 90621-2840 | 2006-11-14 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.