Provider Demographics
NPI:1285422212
Name:KEN KANG MARRIAGE AND FAMILY THERAPY INC.
Entity type:Organization
Organization Name:KEN KANG MARRIAGE AND FAMILY THERAPY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:SUK
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-577-8604
Mailing Address - Street 1:2216 MARSHALLFIELD LN # B
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-5016
Mailing Address - Country:US
Mailing Address - Phone:917-686-0428
Mailing Address - Fax:
Practice Address - Street 1:2615 PACIFIC COAST HWY STE 322
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2227
Practice Address - Country:US
Practice Address - Phone:323-577-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health