Individual ProviderVang Kou KhangInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021(323) 783-4516PECOS EnrollmentBased on the most recent information from CMS, provider Vang Kou Khang 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 2 days ago.Profile DetailsProvider ID1275065385Provider TypeIndividualFull NameKhang, Vang KouCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/28/2017Last Updated9/8/2023Contact InformationPractice LocationPractice Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021Phone(323) 783-4516FaxUnlisted FaxMailing LocationMailing Address7300 N Fresno St, Fresno, CA 93720-2942PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA157181California