MEDICARE: KUWAN CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1255284253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KUWAN CORP

Provider Business Mailing Address
First Line	:	1401 21ST ST STE R
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95811-5226
Country	:	US
Telephone Number	:	619-784-3919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1661 ELM AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-1944
Country	:	US
Telephone Number	:	619-784-3919
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MINLEI WANG
Credential	:
Telephone Number	:	619-784-3919

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “KUWAN CORP ” Practice Location

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