CHRISTINE KANG (NPI# 1619296829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619296829 |
| Entity Type | Individual |
| Full Name | CHRISTINE KANG |
| Practice Address |
11201 Benton St Loma Linda CA 92357-1000 |
| Practice Telephone | 9098257084 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376081 | Christine Kang | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-05-05 |
| 1447769799 | Christine Taelim Kang | Pharmacist | 8507 Roosevelt Ave, Jackson Heights, NY 11372-7342 | 2017-09-28 |
| 1063809606 | Christine Kang | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2015-04-21 |
| 1972583805 | Christine O Kang | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2006-01-18 |
| Street Address |
11201 BENTON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92357-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290558 | Russell Evan Hoxie Jr. | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357-1000 | 2005-07-22 |
| 1104435643 | Megan Satre | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-30 |
| 1972111862 | Aileen Nati Ludesirishoti | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-17 |
| 1649894551 | Bryan Lamont Brewer | Social Worker | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-06-05 |
| 1518580497 | Nicole Kaye Whittle | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-26 |
| 1629690375 | Kevin Alan Cox | Student in an Organized Health Care Education/Training Program | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-15 |
| 1033731443 | Joni Lynn Stanton | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-08 |
| 1134748536 | Abednego Tamba | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-04-15 |
| 1447885884 | Zachary Michael Cruz | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-03-05 |
| 1972141695 | Tanya Lengvilas | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
| 1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
| 1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
| 1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
| 1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
| 1033553375 | Brian Chau | Physical Medicine & Rehabilitation | 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 | 2013-04-17 |
| Find all providers in zip 92357 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316124969 | Jose L Fuentes | Clinical Neuropsychologist | 24230 Barton Rd, Loma Linda, CA 92354-3232 | 2008-01-25 |
| 1275583007 | Faculty Physicians and Surgeons of Llusm | Clinical Neuropsychologist | 25845 Barton Road, Ste. F, Loma Linda, CA 92354-3857 | 2006-05-11 |
| 1811993389 | Michael J Gilewski | Clinical Neuropsychologist | 11406 Loma Linda Dr Rm 105, Loma Linda, CA 92354-3711 | 2005-06-21 |
| 1396342960 | Jeffrey Ryan Murray | Clinical Neuropsychologist | 11406 Loma Linda Dr, Loma Linda, CA 92354-3711 | 2020-10-06 |
| 1710249313 | Suzanne Michelle Hilleary | Clinical Neuropsychologist | Va Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2012-06-11 |
| 1689988362 | Kyrstle Barrera | Clinical Neuropsychologist | 11406 Loma Linda Dr, Loma Linda, CA 92354-3711 | 2010-08-04 |
| 1992026702 | Samantha Lyn French | Clinical Neuropsychologist | 11201 Benton St, Loma Linda, CA 92357-4801 | 2010-06-15 |
| 1659559136 | Fuentes Family Counseling, Inc. | Clinical Neuropsychologist | 24230 Barton Rd, Loma Linda, CA 92354-3232 | 2008-02-06 |
| 1790718518 | Travis Fogel | Clinical Neuropsychologist | 11406 Loma Linda Dr, Loma Linda, CA 92354-3711 | 2006-07-07 |
| 1619927647 | Faculty Physicians and Surgeons of Llusm | Clinical Neuropsychologist | 11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 | 2006-05-11 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92357 |
Please comment or provide details below to improve the information on CHRISTINE KANG.
| 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.