Most Relevant Information
Provider Data
| NPI Number: | 1003045600 |
| Provider Name: | MINA RIM KANG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | A114952 |
Most Important Dates
| Enumeration Date: | 07/06/2009 |
| Last Updated: | 04/15/2021 |
Provider Practice Location
2121 SANTA MONICA BLVD
SANTA MONICA
CA
904042303
Practice Location Phone/Fax
| Phone: | 3104531324 |
| Fax: | 4242125921 |
Provider Mailing Location
2121 SANTA MONICA BLVD
PROVIDENCE ST. JOHN'S HEALTH CENTER
SANTA MONICA
CA
904042303
Provider Mailing Phone/Fax
| Phone: | 3108298858 |
| Fax: | 4242125921 |
Suggested EMR
Pediatrics EMR