Healthcare Provider Details

I. General information

NPI: 1407766264
Provider Name (Legal Business Name): KP CARE HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5483 PHILADELPHIA ST STE D
CHINO CA
91710-7540
US

IV. Provider business mailing address

19132 SINGINGWOOD DR
ROWLAND HEIGHTS CA
91748-2264
US

V. Phone/Fax

Practice location:
  • Phone: 571-216-6885
  • Fax:
Mailing address:
  • Phone: 571-216-6885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KUNPENG JIANG
Title or Position: OWNER
Credential:
Phone: 571-216-6885