SearchCalifornia235Z00000X

Jisun Kang

NPI 1700303609 · on the registry since 2017

Practice

Address
400 S Grand Ave
Covina, CA 91724
Phone
(323) 426-6402
Clinicians at this address
4

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California