Provider Demographics
NPI:1952675126
Name:KANG, CHEN-EN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHEN-EN
Middle Name:
Last Name:KANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ALLEN
Other - Middle Name:CHEN-EN
Other - Last Name:KANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:16320 PASEO DE ROCHA DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4905
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3925 ROSEMEAD BLVD STE 202
Practice Address - Street 2:
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:626-307-0476
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 32217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor