Look up the most recent NPI and PECOS records

Michael Kang

Emergency Medicine

Allopathic & Osteopathic Physicians

4445 Magnolia Ave, Riverside, CA 92501-4135

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Kang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124294517
Provider Type
Individual
Full Name
Kang, Michael
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/5/2008
Last Updated
7/11/2012

Contact Information

Practice Location

4445 Magnolia Ave, Riverside, CA 92501-4135

(951) 684-3910

Unlisted Fax

Mailing Location

4445 Magnolia Ave, Riverside, CA 92501-4135

(951) 684-3910

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A109353 California

Michael Kang

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nguyen, Thien Minh

Gustafsson, Bo Marcus

Summerland, Chloe

Chang, Brennan

Kim, James S.

Hadyah, Sana

Osborne, John Ellsworth

Bommannan, Rishi

Dale, Kenneth M

Badri, Nader Walid