MEDICARE: KADENCE HEALTHCARE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251T00000X	PACE Provider Organization
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1366176943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KADENCE HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	10840 WALKER ST
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-5011
Country	:	US
Telephone Number	:	714-220-0071
Fax Number	:	310-870-7324

Provider Business Practice Location Address
First Line	:	2370 WESTWOOD BLVD STE D
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2120
Country	:	US
Telephone Number	:	310-441-4640
Fax Number	:	310-441-4642

Authorized Official
Title or Position	:	CEO
Name	:	GREG KAHN
Credential	:
Telephone Number	:	424-286-1080

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	09/06/2022

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Directions to “KADENCE HEALTHCARE, INC ” Practice Location

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