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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JACK M KAN, MD
3626 RUFFIN RD
SAN DIEGO, CA92123-1810
 Medical school:
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007

 Phone: 858-565-9666
 Fax: 858-565-9441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JACK M KAN · (Male)

NPI # 1003013442
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2007
Last updated 10/01/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A105169
Hospital affiliation(s)
  • HOAG MEMORIAL HOSPITAL PRESBYTERIAN - (Acute Care)
    ONE HOAG DRIVE
    NEWPORT BEACH, CA 92663
  • HOAG ORTHOPEDIC INSTITUTE - (Acute Care)
    16250 SAND CANYON AVENUE
    IRVINE, CA 92618
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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