Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700303609 Individual Practitioner Female Practitioner

Jisun Kang

Speech-Language Pathologist • Covina, CA

Professional Overview & Biography Verified Profile Summary

Jisun Kang is a registered healthcare professional specializing in Speech-Language Pathologist in Covina, CA. Practice services are available at 400 S GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 S Grand Ave

Covina, CA 917243464

Telephone 3234266402
Associated Practice Facility / Clinic
🏢 Dv Therapy Inc. Facility NPI 1518363597

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Covina, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
40 Specialists

Practicing in Covina, CA (13280 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 33959

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shenal Chapman

Speech-Language Pathologist

NPI 1003386145
Sarai Figueroa

Specialist/Technologist - Speech-Language Assistant

NPI 1003404484
Daniella Hay , CCC-SLP

Speech-Language Pathologist

NPI 1003536061

Speech-Language Pathologist (Certificate of Clinical Competence)

Kassandra Guillen

Behavior Technician

NPI 1003608357
Celest Segovia

Specialist/Technologist - Speech-Language Assistant

NPI 1013555762
Charlie Dirden

Behavior Technician

NPI 1013757582

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Speech-Language Pathologist (License #33959 in CA)

📍
Updated Practice Location May 05, 2026

Registered at 400 S GRAND AVE, COVINA, CA 917243464 (Tel: 3234266402)

📍
Updated Business Mailing Address May 05, 2026

Registered at 400 S GRAND AVE, COVINA, CA 917243464 (Tel: 3234266402)

👤
Provider Name / Credentials Updated July 15, 2025

Recorded as JISUN KANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2025

Speech-Language Pathologist

NPI Profile Active August 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2017

Registered at 1080 S. LA CIENEGA BLVD, #208, LOS ANGELES, CA 90035 (Tel: (213) 820-8783)

📍
Updated Business Mailing Address August 23, 2017

Registered at 1080 S LA CIENEGA BLVD STE 208, LOS ANGELES, CA 900352680 (Tel: 2138208783)

👤
Provider Name / Credentials Updated August 23, 2017

Recorded as JISUN LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2017

Specialist/Technologist (License #2806 in CA)

🟢
Initial NPI Registration & Enumeration August 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700303609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2017
Last Update: June 30, 2026
Sole Proprietor: No

Mailing Address

400 S Grand Ave

Covina, CA 917243464

Phone: 3234266402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.