Individual provider · Type 1 NPI

Taeree Kim Kang

Nurse Practitioner · Northridge, CA

NPI number 1750751608 Active

Practice location

18546 Roscoe Blvd Ste 211
Northridge, CA 91324-5451

Call (818) 885-8040 Map

Mailing address

11539 Amalfi Way
Porter Ranch, CA 91326-4099

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95002938 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1750751608

Taeree Kim Kang's National Provider Identifier is 1750751608, issued on Oct 5, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Northridge, CA. The record was last updated on Oct 5, 2015.