Provider Demographics
NPI:1356548754
Name:VINCENT KAN, L.AC. INC.
Entity type:Organization
Organization Name:VINCENT KAN, L.AC. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:C
Authorized Official - Last Name:KAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-350-2738
Mailing Address - Street 1:950 RALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2208
Mailing Address - Country:US
Mailing Address - Phone:415-350-2738
Mailing Address - Fax:
Practice Address - Street 1:950 RALSTON AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2208
Practice Address - Country:US
Practice Address - Phone:415-350-2738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1361171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty