JENNIFER KANG FNP
NPI 1174054381
Nurse Practitioner - Family in Cerritos, CA

Active since March 21, 2017
11402 SOUTH ST, CERRITOS, CA 90703(562) 865-0802 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Kang Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER KANG FNP (NPI 1174054381) is an individual family provider in Cerritos, California, licensed in California (95005966) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1174054381
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER KANGCredential: FNP
Location Address11402 SOUTH STCerritos, CA 90703-6611
Mailing Address18727 Godinho AveCerritos, CA 90703-6060
Sole ProprietorNo
Enumeration DateMarch 21, 2017
NPI 1174054381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95005966
11402 SOUTH ST, Cerritos, CA 90703

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
11402 SOUTH ST
CERRITOS, CA 90703
Nurse Practitioner (Family)
11402 SOUTH ST
CERRITOS, CA 90703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Kang's NPI number?

The NPI number for Jennifer Kang is 1174054381. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Jennifer Kang located?

Jennifer Kang practices at 11402 South St, Cerritos, CA 90703. The listed phone number is (562) 865-0802.

What is Jennifer Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Kang was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.