Provider Demographics
NPI:1437659778
Name:KANG, YOUNG IL (MD)
Entity Type:Individual
Prefix:
First Name:YOUNG IL
Middle Name:
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:950 TENNESSEE ST UNIT 213
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-4140
Mailing Address - Country:US
Mailing Address - Phone:714-335-9353
Mailing Address - Fax:
Practice Address - Street 1:4610 X ST STE 1202
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2200
Practice Address - Country:US
Practice Address - Phone:171-433-5935
Practice Address - Fax:714-335-9353
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA179014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine