MEDICARE: KAIZEN HEALTH CO VENTURE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1801740626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAIZEN HEALTH CO VENTURE LLC

Provider Business Mailing Address
First Line	:	2913 PULLMAN ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5818
Country	:	US
Telephone Number	:	949-616-2588
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N GRANT ST STE N
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	949-616-2588
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOHN BIEHL IV
Credential	:
Telephone Number	:	949-616-2588

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	05/01/2026

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