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SHIN W KANG
NPI 1457411209
Internal Medicine in Los Angeles, CA

Active since December 11, 2006PECOS EnrolledCLIA 05D0985086 · Waiver
2727 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006(213) 380-7077 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shin W Kang NPPES

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

SHIN W KANG (NPI 1457411209) is an individual internal medicine provider in Los Angeles, California, licensed in California (W15560) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through June 20, 2027.

NPPES Registry Identity

NPI1457411209
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHIN W KANG
Location Address2727 W OLYMPIC BLVD STE 206Los Angeles, CA 90006-2640
Mailing Address2727 W Olympic Blvd Ste 206Los Angeles, CA 90006-2640 · (213) 380-7077
Phone(213) 380-7077
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateMarch 26, 2008
✔ NPI 1457411209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · W15560
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2727 W OLYMPIC BLVD STE 206, Los Angeles, CA 90006
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Other Identifiers 3

Medicaid00A655771CA
Medicare UPINX69220CA
Medicare PINW15560CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shin W Kang 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.

Medicare Billing Reassignment

Medicare enrollment records show Shin Kang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shin Wook Kang Medical Center Inc
Same address
Internal Medicine
2727 W OLYMPIC BLVD STE 206
Los Angeles, CA 90006
  • Reassigned Medicare billing, California enrollment
NPI 1639357056 (213) 380-7077

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0985086

Shin Wook Kang MD · Los Angeles, CA
Active · expires Jun 20, 2027
CLIA Number05D0985086
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorShin W. Kang MD
Laboratory Phone(213) 380-7077
Laboratory LocationShin Wook Kang MD2727 W Olympic Blvd Ste 206, Los Angeles, CA 90006
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers16 claims32 services$4.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims15 services$0.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SHIN WOOK KANG MEDICAL CENTER INC
Internal Medicine
2727 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (213) 380-7077

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 Shin Kang's NPI number?

The NPI number for Shin Kang is 1457411209. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Shin Kang located?

Shin Kang practices at 2727 W Olympic Blvd Ste 206, Los Angeles, CA 90006. The listed phone number is (213) 380-7077.

What is Shin Kang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shin Kang enrolled in Medicare?

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

Which organization bills Medicare for Shin Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shin Kang reassigns Medicare benefits to Shin Wook Kang Medical Center Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shin Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Shin Kang hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0985086) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shin Kang was last updated on March 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.