Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659633568 Deactivated / Inactive NPI Female Practitioner

Myeongae Mischa Kang , LAC, DOAM

Acupuncturist • Pasadena, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Myeongae Kang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2012
NPI Deactivation Date July 09, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Myeongae Kang, LAC, DOAM was a registered Acupuncturist practicing in Pasadena, CA. Throughout an active medical career spanning 7 years, Myeongae Kang provided care at the practice location at 525 E COLORADO BLVD, PENTHOUSE until profile deactivation on 2019-07-09.

Practice Location & Contact Primary Location

Practice Address

525 E Colorado Blvd, Penthouse

Pasadena, CA 91101

Telephone 6265350900
Associated Practice Facility / Clinic
🏢 Eclat Medical, Inc Facility NPI 1477797306

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
130 Specialists

Practicing in Pasadena, CA (11031 Statewide)

Telehealth Adoption Rate
0.0% 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

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CA 14622

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Shunpei Iwata , MD

Internal Medicine

NPI 1396931309

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 09, 2019

Record deactivated on July 09, 2019

NPI Profile Active June 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2012

Registered at 525 E COLORADO BLVD, PENTHOUSE, PASADENA, CA 91101 (Tel: 6265350900)

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Updated Business Mailing Address June 15, 2012

Registered at 825 CHEHALEM RD, LA CANADA, CA 910112502 (Tel: 8188078849)

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Provider Name / Credentials Updated June 15, 2012

Recorded as MYEONGAE KANG, LAC, DOAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2012

Acupuncturist (License #14622 in CA)

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Initial NPI Registration & Enumeration June 15, 2012

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: 1659633568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2012
Last Update: June 15, 2012
Deactivation Date: July 09, 2019

Mailing Address

825 Chehalem Rd

La Canada, CA 910112502

Phone: 8188078849

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.