Provider Demographics
NPI:1093147852
Name:KANG, ALBERT BYOUNGOH (DDS)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:BYOUNGOH
Last Name:KANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 E SANTA FE RD
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-9110
Mailing Address - Country:US
Mailing Address - Phone:909-342-4240
Mailing Address - Fax:866-525-9008
Practice Address - Street 1:3050 E SANTA FE RD
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-9110
Practice Address - Country:US
Practice Address - Phone:909-342-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-04
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1061711223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist