Individual ProviderSae KangInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4950 W Sunset Blvd Fl 6, Los Angeles, CA 90027-5822(323) 699-2172PECOS EnrollmentBased on the most recent information from CMS, provider Sae Kang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1013297712Provider TypeIndividualFull NameKang, SaeGenderFemaleSole ProprietorNoEnumeration Date8/25/2011Last Updated12/3/2021Contact InformationPractice LocationPractice Address4950 W Sunset Blvd Fl 6, Los Angeles, CA 90027-5822Phone(323) 699-2172FaxUnlisted FaxMailing LocationMailing Address4950 W Sunset Blvd Fl 6, Los Angeles, CA 90027-5822PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA116825California