Mina Rim Kang, MD
Hospitalist in Santa Monica, CA. Individual provider (NPI-1).
NPI number1003045600
StatusActive
Last updated in NPPESApr 15, 2021
Details
- NPI
- 1003045600
- Entity type
- Individual (NPI-1)
- Name
- Mina Rim Kang
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2009
- Certification date
- Apr 15, 2021
- Last updated
- Apr 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | A114952 | CA | Yes |
| 208000000X | Pediatrics | A114952 | CA | |
| 207R00000X | Internal Medicine | A114952 | CA |
Practice location
2121 Santa Monica BlvdSanta Monica, CA 90404-2303
Phone 310-453-1324 · Fax 424-212-5921
Mailing address
2121 Santa Monica BlvdProvidence St. John'S Health Center
Santa Monica, CA 90404-2303
Phone 310-829-8858 · Fax 424-212-5921
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