Healthcare Provider Details

I. General information

NPI: 1851267579
Provider Name (Legal Business Name): KANG FU CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 N BROADWAY
WALNUT CREEK CA
94596-4222
US

IV. Provider business mailing address

1615 N BROADWAY
WALNUT CREEK CA
94596-4222
US

V. Phone/Fax

Practice location:
  • Phone: 925-930-5639
  • Fax: 925-930-5699
Mailing address:
  • Phone: 925-930-5639
  • Fax: 925-930-5699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. QUAN SUN
Title or Position: CEO
Credential: L.AC.
Phone: 925-550-0085