Provider Demographics
NPI:1568613156
Name:KANG, HELEN J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:J
Last Name:KANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86612
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90086-0612
Mailing Address - Country:US
Mailing Address - Phone:323-654-0907
Mailing Address - Fax:
Practice Address - Street 1:8212 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-5913
Practice Address - Country:US
Practice Address - Phone:323-654-0907
Practice Address - Fax:323-654-6264
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA549121835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy