Healthcare Provider Details

I. General information

NPI: 1801740626
Provider Name (Legal Business Name): KAIZEN HEALTH CO VENTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE N
DENVER CO
80203-1859
US

IV. Provider business mailing address

2913 PULLMAN ST
SANTA ANA CA
92705-5818
US

V. Phone/Fax

Practice location:
  • Phone: 949-616-2588
  • Fax:
Mailing address:
  • Phone: 949-616-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN BIEHL IV
Title or Position: OWNER
Credential:
Phone: 949-616-2588