Provider Demographics
NPI:1609135102
Name:ALLEN C. KANG'S CHIROPRACTIC DC INC
Entity Type:Organization
Organization Name:ALLEN C. KANG'S CHIROPRACTIC DC INC
Other - Org Name:K & H INSPIRATIONAL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:CHEN-EN
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-307-0287
Mailing Address - Street 1:3925 ROSEMEAD BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1933
Mailing Address - Country:US
Mailing Address - Phone:626-307-0287
Mailing Address - Fax:626-307-0475
Practice Address - Street 1:3925 ROSEMEAD BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1933
Practice Address - Country:US
Practice Address - Phone:626-307-0287
Practice Address - Fax:626-307-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 32217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty