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SOO WOONG KANG MD INC
NPI 1689880593
Internal Medicine in Norwalk, CA

Active since May 15, 2007
11832 ROSECRANS AVE, 127, NORWALK, CA 90650(562) 868-6256 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Soo Woong Kang Md Inc NPPES

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

SOO WOONG KANG MD INC (NPI 1689880593) is a healthcare organization registered as an internal medicine in Norwalk, California and active in the NPI registry since May 2007. The organization lists Soo Woong Kang, Director, as its authorized official.

NPPES Registry Identity

NPI1689880593
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOO WOONG KANG MD INC
Location Address11832 ROSECRANS AVE, 127Norwalk, CA 90650-4107
Mailing Address11832 Rosecrans Ave, 127Norwalk, CA 90650-4107 · (562) 868-6256
Phone(562) 868-6256
Organization SubpartNo
Authorized OfficialSoo Woong KangDirector · (562) 868-6256
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 22, 2008
✔ NPI 1689880593 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 · 00A66630
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.
11832 ROSECRANS AVE, Norwalk, CA 90650
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Other Identifiers 2

Medicare PINW21098CA
Medicaid00A666300CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soo Woong Kang Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20071011000316Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Soo Woong Kang MD Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Soo Kang
Internal Medicine
NPI 1164577706
6714 BEACH BLVD
Buena Park, CA 90621
(147) 526-7787
✔ PECOS5.5 mi
Jieun Sim
Nurse Practitioner
NPI 1932601952
6714 BEACH BLVD
Buena Park, CA 90621
(714) 752-6778
✔ PECOS5.5 mi
Sunyoung Lee, NP
Nurse Practitioner
NPI 1790462166
841 W PEBBLE BEACH AVE
La Habra, CA 90631
(714) 722-7979
✔ PECOS7.3 mi

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

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 Soo Woong Kang MD Inc's NPI number?

The NPI number for Soo Woong Kang MD Inc is 1689880593. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Soo Woong Kang MD Inc located?

Soo Woong Kang MD Inc is located at 11832 Rosecrans Ave 127, Norwalk, CA 90650. The listed phone number is (562) 868-6256.

What is Soo Woong Kang MD Inc's specialty?

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

Is Soo Woong Kang MD Inc enrolled in Medicare?

Yes. Soo Woong Kang MD Inc is registered in the Medicare PECOS enrollment system.

When is Soo Woong Kang MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Soo Woong Kang MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Soo Woong Kang MD Inc, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Soo Woong Kang MD Inc was last updated on February 22, 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.