Most Relevant Information
Provider Data
| NPI Number: | 1003013442 |
| Provider Name: | JACK MIN KAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | A105169 |
Most Important Dates
| Enumeration Date: | 06/29/2007 |
| Last Updated: | 11/22/2019 |
Provider Practice Location
1 HOAG DR
DEPT OF ANESTHESIOLOGY
NEWPORT BEACH
CA
92663
Practice Location Phone/Fax
| Phone: | 8585659666 |
| Fax: | 8585659441 |
Provider Mailing Location
1 HOAG DR
DEPT OF ANESTHESIA
NEWPORT BEACH
CA
92663
Provider Mailing Phone/Fax
| Phone: | 9497645438 |
| Fax: | 9497645430 |