1689675852 NPI number — DR. CHANG WOON KANG M.D.

Table of content: DR. CHANG WOON KANG M.D. (NPI 1689675852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689675852 NPI number — DR. CHANG WOON KANG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KANG
Provider First Name:
CHANG
Provider Middle Name:
WOON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KANG
Provider Other First Name:
C
Provider Other Middle Name:
THOMAS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1689675852
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5920 MCINTYRE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOLDEN
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80403-7445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-949-1250
Provider Business Mailing Address Fax Number:
303-215-7308

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5920 MCINTYRE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOLDEN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80403-7445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-949-1250
Provider Business Practice Location Address Fax Number:
303-215-7308
Provider Enumeration Date:
08/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0300X , with the licence number:  43586 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 46885064 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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