JENNIFER KANG


Address: 11402 South St, Cerritos, CA 90703-6611
Phone: 5628650802

JENNIFER KANG (NPI# 1174054381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95005966 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER KANG

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

Office Location

Street Address 11402 SOUTH ST
City CERRITOS
State CA
Zip Code 90703-6611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134513997 Janell Ocampo Nurse Practitioner 11402 South St, Cerritos, CA 90703-6611 2015-03-19

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CERRITOS
Zip Code 90703

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Dataset Information

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.

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