Individual ProviderPaul KangPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1176 N Euclid St, Anaheim, CA 92801-1900(714) 772-5040PECOS EnrollmentBased on the most recent information from CMS, provider Paul Kang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1700437654Provider TypeIndividualFull NameKang, PaulTitleDr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date9/23/2019Last Updated3/26/2021Contact InformationPractice LocationPractice Address1176 N Euclid St, Anaheim, CA 92801-1900Phone(714) 772-5040FaxUnlisted FaxMailing LocationMailing Address1176 N Euclid St, Anaheim, CA 92801-1900Phone(714) 772-5040FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT297233California