EILEEN SWAN KANG


Address: 6 Venture Suite 350, Irvine, CA 92618-1040
Phone: 9495569190

EILEEN SWAN KANG (NPI# 1689744005) 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) 1689744005
Entity Type Individual
Full Name EILEEN SWAN KANG
Credential PHD
Practice Address 6 Venture Suite 350
Irvine
CA 92618-1040
Mailing Address Po Box 54842
Irvine
CA 92619
Practice Telephone 9495569190
Practice Fax Number 9495569190
Mailing Telephone 9495569190
Mailing Fax Number 9495569190
Enumeration Date 2006-11-09
Last Update Date 2020-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY20310 CA Behavioral Health & Social Service Providers
N 103TR0400X Psychologist
Specialization: Rehabilitation
PSY20310 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
385 Imperial Hwy, Fullerton, CA 928351040 7146819070 7147734788

Office Location

Street Address 6 VENTURE SUITE 350
City IRVINE
State CA
Zip Code 92618-1040

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821528118 Agar Neuropsychology Group, Inc. Clinical Neuropsychologist 2062 Business Center Dr Ste 118, Irvine, CA 92612-1135 2017-06-19
1316080344 Tracy F Kuo Clinical Neuropsychologist 19782 Macarthur Blvd Ste 215, Irvine, CA 92612 2007-02-15
1750921532 Empirica Group Inc Clinical Neuropsychologist 6 Venture Ste 350, Irvine, CA 92618-7350 2020-01-09
1811426125 Lauren Bennett Clinical Neuropsychologist 16405 Sand Canyon Ave Ste 220, Irvine, CA 92618-3787 2017-06-08
1275924557 Timothy J O'brien Clinical Neuropsychologist 1 Medical Plaza Drive, Uc Irvine Department of Neurology, Gottschalk Medical P, Irvine, CA 92697 2015-02-09
1962695635 Francis Michael Crinella Clinical Neuropsychologist 19722 Macarthur Blvd, Irvine, CA 92612-2404 2007-08-24
1912041484 Fariba Kezel Clinical Neuropsychologist 4199 Campus Dr, Suite 550, Irvine, CA 92612-4696 2007-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407455108 Chelsea Vilinskas Clinical Neuropsychologist 2624 Larkey Ln, Walnut Creek, CA 94597-2439 2020-10-22
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1265045975 Well Psychology, Inc. Clinical Neuropsychologist 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 2020-08-24
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1437767399 Ni Sun-suslow Clinical Neuropsychologist 220 Dickinson St # B, San Diego, CA 92103-2071 2020-07-16
1366061707 Talia Rose Seider Clinical Neuropsychologist 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 2020-04-15
1699394270 Colin Jarred Gallagher Clinical Neuropsychologist 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 2020-04-13
1649807058 Nicholas S. Thaler Phd A Psychological Corporation Clinical Neuropsychologist 1526 14th St Ste 109, Santa Monica, CA 90404-3320 2020-03-25
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Competitor

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City IRVINE
Zip Code 92618

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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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