Most Relevant Information
Provider Data
| NPI Number: | 1003448374 |
| Provider Name: | ANDREW JI KANG PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 207KA0200X |
| Specialty: | Allergy & Immunology |
| License Number: | 55750 |
Most Important Dates
| Enumeration Date: | 02/05/2020 |
| Last Updated: | 02/05/2020 |
Provider Practice Location
701 E 28TH ST
LONG BEACH
CA
908062759
Practice Location Phone/Fax
| Phone: | 5622943315 |
| Fax: |
Provider Mailing Location
1061 N DOWNING ST
ANAHEIM
CA
928051612
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |