Basic Information
| Provider Information | |||||||||
| NPI: | 1881731347 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | K&Y GROUPS INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1669 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MILPITAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950356200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4089427479 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1669 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MILPITAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950356200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4089427479 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | KUO | ||||||||
| AuthorizedOfficialFirstName: | PATRICK | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4089427479 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | 11526 | CA | N | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Acupuncturist | 171100000X | 11439 | CA | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Acupuncturist |
No ID Information.