Organization
KANG EASTERN MEDICINE INC
Active
Organization
KANG EASTERN MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYEONGAE MISCHA KANG LAC, DAOM (PRESIDENT)
(818) 807-8849
Entity
Organization
Contact information
Practice address
525 E COLORADO BLVD, PENTHOUSE, PASADENA, CA 91101-5226
(818) 807-8849
(626) 389-5479
Mailing address
825 CHEHALEM RD, LA CANADA, CA 91011-2502
(818) 864-6488
(818) 864-6488
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC-14622
CA
Other
Enumeration date
10/05/2012
Last updated
10/15/2012
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