Provider Demographics
NPI:1144541855
Name:KANG, MI AK
Entity type:Individual
Prefix:
First Name:MI AK
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9618 GARDEN GROVE BLVD STE 103
Mailing Address - Street 2:C/O MIAH ACPUNCTURE
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1563
Mailing Address - Country:US
Mailing Address - Phone:714-335-0595
Mailing Address - Fax:
Practice Address - Street 1:9618 GARDEN GROVE BLVD STE 103
Practice Address - Street 2:C/O MIAH ACUPUNCTURE
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1563
Practice Address - Country:US
Practice Address - Phone:714-335-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10337171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist