Provider Demographics
NPI:1184046195
Name:KANG, HYUN K (DPM)
Entity Type:Individual
Prefix:
First Name:HYUN
Middle Name:K
Last Name:KANG
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:12828 HARBOR BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-5834
Mailing Address - Country:US
Mailing Address - Phone:714-636-3032
Mailing Address - Fax:714-636-3116
Practice Address - Street 1:12828 HARBOR BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-5834
Practice Address - Country:US
Practice Address - Phone:714-636-3032
Practice Address - Fax:714-636-3116
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-09
Last Update Date:2015-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPO3633213ES0103X
CAE5101213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery