Healthcare Provider Details

I. General information

NPI: 1003322835
Provider Name (Legal Business Name): KM2 HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 W. DUARTE RD
ARCADIA CA
91007-7523
US

IV. Provider business mailing address

846 W. DUARTE RD
ARCADIA CA
91007-7523
US

V. Phone/Fax

Practice location:
  • Phone: 626-348-8155
  • Fax: 626-461-5011
Mailing address:
  • Phone: 626-348-8155
  • Fax: 626-461-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MINH CHAU
Title or Position: CEO
Credential: PHARM D
Phone: 626-348-8155