Kang, Young Suk

Kang, Young Suk is an individual health care provider with primary practice located at 751 S Bascom Ave Diagnostic Imaging, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kang, Young Suk can be contacted via phone (408) 885-6346.

Contact Information

Primary practice address
751 S Bascom Ave Diagnostic Imaging San Jose CA 95128-2604
Phone: (408) 885-6346
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G70861 California

Profile Details

NPI number 1386608388
LBN Legal business name Kang, Young Suk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 13th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386608388 NPPES
California MEDICAID 00G708610

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