Kang Eastern Medicine Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AC-14622 Issued in CA

Legal business name

KANG EASTERN MEDICINE INC

Practice address

525 E Colorado Blvd
Penthouse
Pasadena, CA 91101-5226

Phone

(818) 807-8849

Fax

(626) 389-5479

NPI assigned

Oct 5, 2012

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Myeongae Mischa Kang, LAC, DAOM

Title

President

Phone

(818) 807-8849

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shunpei Keith Iwata, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1396931309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1083966618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHEHALEM RD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112502",
            "telephone_number": "818-864-6488",
            "fax_number": "818-864-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E COLORADO BLVD",
            "address_2": "PENTHOUSE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015226",
            "telephone_number": "818-807-8849",
            "fax_number": "626-389-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG EASTERN MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MYEONGAE",
        "authorized_official_middle_name": "MISCHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-807-8849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, DAOM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "AC-14622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelle Kanan, MD
• Annie Kanchanasuwan, RN, GNP, GCNS-BC
• Fagharch Kandilian, RPH
• David William Kane, LMFT
• Grace Kane1
• Amy Kang
• Donggil Kang, D.D.S
• Hong Bee Kang
• Jimmy J Kang, M.D.
• Szshiang Kang, L.AC

• Health Service Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.