Provider Demographics
NPI:1407993405
Name:KAN-SAI HEALTH CENTER
Entity Type:Organization
Organization Name:KAN-SAI HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HSUEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC, AC
Authorized Official - Phone:213-680-4954
Mailing Address - Street 1:319 E 2ND ST
Mailing Address - Street 2:116
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-4250
Mailing Address - Country:US
Mailing Address - Phone:213-680-4954
Mailing Address - Fax:888-246-3934
Practice Address - Street 1:319 E 2ND ST
Practice Address - Street 2:116
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-4250
Practice Address - Country:US
Practice Address - Phone:213-680-4954
Practice Address - Fax:213-680-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24418111N00000X
CAAC4010171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC4010OtherAC
CADC24418, AC8637OtherDC, AC