Individual provider · Type 1 NPI

Kangho Ang

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1013048644 Active

Practice location

7707 Austin Rd
Stockton, CA 95215-8312

Call (209) 467-8546 Map

Mailing address

2327 Mumbert Dr
Manteca, CA 95337-7807

Other practice locations

  • 7707 Austin Rd, Stockton, CA 95215-8312 · (209) 467-8546
  • 210 N 4th St Ste 100, San Jose, CA 95112-5573 · (408) 295-5288

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X29668 (CA)
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013048644

Kangho Ang's National Provider Identifier is 1013048644, issued on Mar 7, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Oct 17, 2023.