Healthcare Provider Details

I. General information

NPI: 1891625778
Provider Name (Legal Business Name): KCS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NORTH HARBOR BOULEVARD SUITE 100
ANAHEIM CA
92805-2519
US

IV. Provider business mailing address

451 WEST LINCOLN AVENUE SUITE 100
ANAHEIM CA
92805-2912
US

V. Phone/Fax

Practice location:
  • Phone: 704-503-6550
  • Fax: 714-409-3075
Mailing address:
  • Phone: 704-503-6550
  • Fax: 714-409-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MR. KAY AHN
Title or Position: CHIEF OPERATIONS OFFICER AND CIO
Credential:
Phone: 714-527-6561