Healthcare Provider Details

I. General information

NPI: 1952220931
Provider Name (Legal Business Name): KOREAN AMERICAN COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 BURTON AVE
SAN JOSE CA
95112-4905
US

IV. Provider business mailing address

136 BURTON AVE
SAN JOSE CA
95112-4905
US

V. Phone/Fax

Practice location:
  • Phone: 408-920-9733
  • Fax:
Mailing address:
  • Phone: 408-920-9733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: EUNICE CHUN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 408-920-9733