KEIKO MARIE KANG MD
NPI 1295315042
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 14, 2021PECOS Enrolled
1200 N STATE ST., CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(818) 590-0776 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keiko Marie Kang Md NPPES

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

KEIKO MARIE KANG MD (NPI 1295315042) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295315042
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEIKO MARIE KANGCredential: MD
Location Address1200 N STATE ST., CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address8107 Oakdale AveWinnetka, CA 91306-1934 · (818) 590-0776
Sole ProprietorNo
Enumeration DateApril 14, 2021
NPPES CertifiedMarch 22, 2021
NPI 1295315042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
1200 N STATE ST., Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keiko Marie Kang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Nephrology)
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Dentist
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Internal Medicine
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGLES, CA 90033
Emergency Medicine
1200 N STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

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 Keiko Kang's NPI number?

The NPI number for Keiko Kang is 1295315042. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Keiko Kang located?

Keiko Kang practices at 1200 N State St. Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (818) 590-0776.

What is Keiko Kang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keiko Kang enrolled in Medicare?

Yes. Keiko Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keiko Kang was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.