Healthcare Provider Details

I. General information

NPI: 1255288288
Provider Name (Legal Business Name): KC HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14040 BLOSSOM HILL RD
LOS GATOS CA
95032-5117
US

IV. Provider business mailing address

14040 BLOSSOM HILL RD
LOS GATOS CA
95032-5117
US

V. Phone/Fax

Practice location:
  • Phone: 669-203-7170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE XINXIN ZHANG
Title or Position: OWNER
Credential:
Phone: 669-203-7170