Healthcare Provider Details

I. General information

NPI: 1780146936
Provider Name (Legal Business Name): KENNETH HOU PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 EL CAMINO REAL STE 321
BURLINGAME CA
94010-3114
US

IV. Provider business mailing address

1860 EL CAMINO REAL STE 321
BURLINGAME CA
94010-3114
US

V. Phone/Fax

Practice location:
  • Phone: 650-552-8180
  • Fax: 650-552-8199
Mailing address:
  • Phone: 650-552-8180
  • Fax: 650-552-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA69021
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: