JENNIFER KANG (NPI# 1174054381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174054381 |
Entity Type | Individual |
Full Name | JENNIFER KANG |
Credential | FNP |
Practice Address |
11402 South St Cerritos CA 90703-6611 |
Mailing Address |
18727 Godinho Ave Cerritos CA 90703-6060 |
Practice Telephone | 5628650802 |
Enumeration Date | 2017-03-21 |
Last Update Date | 2017-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005966 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568015675 | Jennifer Kang | Pharmacist | 717 Carhart Ave Apt B2, Fullerton, CA 92833-2300 | 2019-07-17 |
1477036721 | Jennifer Kang | Occupational Therapist | 823 N 129th Infantry Dr Ste 104, Joliet, IL 60435-8347 | 2018-09-12 |
1740666874 | Jennifer Kang | Physical Therapist | 3 Hawkes Ave, Ossining, NY 10562-2502 | 2015-07-30 |
1205353422 | Jennifer Un-jin Kang | Nurse Practitioner | 980 Sanders Rd Ste 100, Cumming, GA 30041-5977 | 2017-08-28 |
1821521766 | Jennifer Kang | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2017-04-07 |
1477929032 | Jennifer Kang | Occupational Therapist | 13330 Bloomfield Ave Ste 101, Norwalk, CA 90650-3259 | 2015-08-18 |
1073908125 | Jennifer Hearim Kang | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2015-04-04 |
1912307448 | Jennifer Kang | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2014-09-03 |
1154574812 | Jennifer J Kang | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2008-10-28 |
1417132572 | Jennifer Anne Kang | Obstetrics & Gynecology | 2216 Buenaventura Blvd, Suite B, Redding, CA 96001-3838 | 2008-01-08 |
Street Address |
11402 SOUTH ST |
City | CERRITOS |
State | CA |
Zip Code | 90703-6611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134513997 | Janell Ocampo | Nurse Practitioner | 11402 South St, Cerritos, CA 90703-6611 | 2015-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
Find all providers in zip 90703 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414691 | Connie Ju-hye Chung | Nurse Practitioner | 11911 Artesia Blvd Ste 101, Cerritos, CA 90701-4070 | 2020-07-19 |
1407407083 | Maria Nina Feniza Quimpo | Nurse Practitioner | 12041 Bertha St, Cerritos, CA 90703-7556 | 2019-09-24 |
1487201083 | Kathleen Constantino | Nurse Practitioner | 11329 Yearling St, Cerritos, CA 90703-6560 | 2019-08-20 |
1154802593 | Jean Michelle Mendiola Mayuga | Nurse Practitioner | 10952 Elena St, Cerritos, CA 90703-1509 | 2018-08-23 |
1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
1609224708 | Mark Christian Sampang | Nurse Practitioner | 19706 Ray Cir, Cerritos, CA 90703-7546 | 2016-05-31 |
1679935308 | Angela Ngozi Nwosu | Nurse Practitioner | 19719 Jacob Ave, Cerritos, CA 90703-7527 | 2016-03-22 |
1851775639 | Heather Crabtree Fitchner | Nurse Practitioner | 12989 Towne Center Dr, Cerritos, CA 90703-8549 | 2015-07-12 |
1134513997 | Janell Ocampo | Nurse Practitioner | 11402 South St, Cerritos, CA 90703-6611 | 2015-03-19 |
1023409620 | Cynthia De Jarnett | Nurse Practitioner | 12900 Park Center Dr., #150, Cerritos, CA 90703 | 2015-02-18 |
Find all providers in CERRITOS |
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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.