MEDICARE: MISS SELENA KAN RN

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	163W00000X	Registered Nurse	RN524719	CA

General Provider Information

NPI Number	:	1720260912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SELENA KAN RN

Provider Business Mailing Address
First Line	:	2647 INTERNATIONAL BLVD
Second Line	:	SUITE 600
City	:	OAKLAND
State	:	CA
Zip	:	94601-1537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2647 INTERNATIONAL BLVD
Second Line	:	SUITE 600
City	:	OAKLAND
State	:	CA
Zip	:	94601-1537
Country	:	US
Telephone Number	:	510-434-7667
Fax Number	:

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

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	11/29/2007

Similar Medicare Providers

1821103748 — BEYOND EMANCIPATION TEEN HEALTH CENTER
Practice Location Address:

2647 INTERNATIONAL BLVD , SUITE 420
OAKLAND, CA
94601-1537

Practice Phone: 510-261-4102
Practice Fax:

1295829604 — MIKE'S PHARMACY, INC
Practice Location Address:

2647 INTERNATIONAL BLVD , STE 106
OAKLAND, CA
94601-1537

Practice Phone: 510-533-4130
Practice Fax: 510-533-0980

1649302605 — CAROLINA ROBB
Practice Location Address:

2647 INTERNATIONAL BLVD , SUITE 412
OAKLAND, CA
94601-1537

Practice Phone: 510-532-5242
Practice Fax: 510-533-7918

1285817338 — JEANETTE BEER
Practice Location Address:

2647 INTERNATIONAL BLVD , SUITE 600
OAKLAND, CA
94601-1537

Practice Phone: 510-434-7673
Practice Fax: 510-434-7908

1720261522 — LACHELLE WITHERSPOON RN
Practice Location Address:

2647 INTERNATIONAL BLVD , 600
OAKLAND, CA
94601-1537

Practice Phone: 510-434-7879
Practice Fax: 510-434-7908

1427225390 — JAMIME O CORTES MD
Practice Location Address:

2647 INTERNATIONAL BLVD , SUITE 404
OAKLAND, CA
94601-1537

Practice Phone: 818-504-7265
Practice Fax: 818-504-1623

Directions to “ MISS SELENA KAN RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.