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Ruby Kang

Pharmacist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1346709656
StatusActive
Last updated in NPPESMar 16, 2019

Details

NPI
1346709656
Entity type
Individual (NPI-1)
Name
Ruby Kang
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2019
Last updated
Mar 16, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist78762CAYes

Practice location

8900 Sepulveda Westway
Los Angeles, CA 90045-3619

Phone 310-258-0265

Mailing address

635 S Hobart Blvd Apt 424
Los Angeles, CA 90005-5508

Phone 857-229-4641

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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