JI YUN KANG PH.D., LP
NPI 1376165910
Psychologist in Los Angeles, CA

Active since May 16, 2020PECOS Enrolled
1031 W 34TH ST, LOS ANGELES, CA 90089(213) 740-9355 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, May 9, 2024, May 16, 2020 (3 updates tracked since 2020).

About Ji Yun Kang Ph.d., Lp NPPES

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

JI YUN KANG PH.D., LP (NPI 1376165910) is an individual psychologist in Los Angeles, California, licensed in California (PSY31197) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Beverly Hills.

NPPES Registry Identity

NPI1376165910
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJI YUN KANGCredential: PH.D., LP
Location Address1031 W 34TH STLos Angeles, CA 90089-3602
Mailing Address1031 W 34th StLos Angeles, CA 90089-3602 · (213) 740-9355
Sole ProprietorYes
Enumeration DateMay 16, 2020
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1376165910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · PSY31197 Licensed in IL · 071.009777
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1031 W 34TH ST, Los Angeles, CA 90089

Other Names 1

Professional Name (2)Jiyun Kang Ph.d., Lp

Secondary Practice Location 1

Location 18500 Wilshire Blvd Ste 740Beverly Hills, CA 90211-3121 · Phone (213) 373-4391

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ji Yun Kang Ph.d., Lp 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 17

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

Nurse Practitioner (Family)
1031 W 34TH ST
LOS ANGELES, CA 90089
Psychiatry & Neurology (Psychiatry)
1031 W 34TH ST
LOS ANGELES, CA 90089
Dentist (Prosthodontics)
1031 W 34TH ST, SUITE 401
LOS ANGELES, CA 90089
Family Medicine
1031 W 34TH ST
LOS ANGELES, CA 90089
Marriage & Family Therapist
1031 W 34TH ST
LOS ANGELES, CA 90089
Occupational Therapist
1031 W 34TH ST
LOS ANGELES, CA 90089
Physical Therapist
1031 W 34TH ST, STE 450
LOS ANGELES, CA 90089
Internal Medicine
1031 W 34TH ST
LOS ANGELES, CA 90089

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 Ji Yun Kang's NPI number?

The NPI number for Ji Yun Kang is 1376165910. It was assigned to this individual provider in the NPPES registry on May 16, 2020. The provider is also known as Jiyun Kang Ph.D., LP.

Where is Ji Yun Kang located?

Ji Yun Kang practices at 1031 W 34th St, Los Angeles, CA 90089. The listed phone number is (213) 740-9355.

What is Ji Yun Kang's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ji Yun Kang enrolled in Medicare?

Yes. Ji Yun Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ji Yun Kang was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.