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Hyun Kang

• Male

Medical Specialty

• Critical Care intensivists
• Internal Medicine

Professional ID

• NPI: 1316917883
• PECOS ID: 1052207081
• Enrollment ID: I20120905000427
• Credential(MD, DO, DPM): MD
• Medical School:
• Medical School Graduation Year: 1984

Hospital Service

• Hospital CCN1: 050174
• Business Name (LBN)1: Santa Rosa Memorial Hospital
• Hospital CCN2: 050136
• Business Name (LBN)2: Petaluma Valley Hospital
• Hospital CCN3: 051325
• Business Name (LBN)3: Mendocino Coast District Hospital
• Hospital CCN4: 051321
• Business Name (LBN)4: Healdsburg District Hospital

Medical Practices

• Organization Name: St Joseph Heritage Healthcare
• Group Practice ID assigned by PECOS: 8921993205
• Number of Group Practice member: 989

Location

• Address1: 1165 Montgomery Dr
• Address2:
• City: Santa Rosa
• State: California
• Zip Code: 95405
• Phone Number: (707)546-3210

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS):
• Used Electronic health record (EHR):