MEDICARE: KAI FA HE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	11676	CA

General Provider Information

NPI Number	:	1154966448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAI FA HE

Provider Business Mailing Address
First Line	:	3872 FOXDALE CT
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91320-4954
Country	:	US
Telephone Number	:	805-490-1413
Fax Number	:

Provider Business Practice Location Address
First Line	:	166 N MOORPARK RD STE 301
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-4437
Country	:	US
Telephone Number	:	805-405-6035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2019
Last Update Date	:	11/11/2019

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Directions to “ KAI FA HE ” Practice Location

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