Provider Demographics
NPI:1083466148
Name:KAN, HOI KI (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:HOI KI
Middle Name:
Last Name:KAN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 DEL HOMBRE LN APT 408
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2362
Mailing Address - Country:US
Mailing Address - Phone:510-588-6392
Mailing Address - Fax:
Practice Address - Street 1:4637 CHABOT DR STE 118
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2749
Practice Address - Country:US
Practice Address - Phone:480-729-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT26010225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics