MEDICARE: KCS, INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1184716581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KCS, INC.

Provider Business Mailing Address
First Line	:	451 W LINCOLN AVE STE 100
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-2912
Country	:	US
Telephone Number	:	714-503-6550
Fax Number	:	714-409-3075

Provider Business Practice Location Address
First Line	:	1060 S BROOKHURST RD
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92833-3709
Country	:	US
Telephone Number	:	714-449-1339
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER AND CIO
Name	:	MR. KAY AHN
Credential	:
Telephone Number	:	714-527-6561

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	02/12/2026

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