Provider Demographics
NPI:1437293008
Name:KANG, YOUNG-HWA (MFC)
Entity type:Individual
Prefix:DR
First Name:YOUNG-HWA
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3913
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90632-3913
Mailing Address - Country:US
Mailing Address - Phone:714-944-4545
Mailing Address - Fax:
Practice Address - Street 1:1901 E LAMBERT RD STE 203P
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-0504
Practice Address - Country:US
Practice Address - Phone:714-944-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46902106H00000X
CAMFC46902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist