Provider Demographics
NPI:1851971576
Name:KANG, NICOLAS ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:ALEXANDER
Last Name:KANG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2880 ATLANTIC AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1715
Mailing Address - Country:US
Mailing Address - Phone:562-492-9900
Mailing Address - Fax:562-492-9902
Practice Address - Street 1:2880 ATLANTIC AVE STE 170
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806
Practice Address - Country:US
Practice Address - Phone:562-492-9900
Practice Address - Fax:562-492-9902
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2025-05-14
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Provider Licenses
StateLicense IDTaxonomies
CAA200326207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine