Provider Demographics
NPI:1902061310
Name:KANG, JAMES KIHO (DMD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KIHO
Last Name:KANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:MR
Other - First Name:KI HO
Other - Middle Name:
Other - Last Name:KANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25261 PASEO DE VALENCIA #2
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92637
Mailing Address - Country:US
Mailing Address - Phone:949-951-7988
Mailing Address - Fax:617-536-4611
Practice Address - Street 1:25261 PASEO DE VALENCIA #2
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92637
Practice Address - Country:US
Practice Address - Phone:949-951-7988
Practice Address - Fax:617-536-4611
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205721223P0700X
CA1058011223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics