| Michael E Kan Md | |
|
360 Dardanelli Ln Ste 1g Los Gatos CA 95032-1421 | |
| (408) 378-2900 | |
| (408) 378-2039 |
| Full Name | Michael E Kan Md |
|---|---|
| Speciality | Family Medicine |
| Location | 360 Dardanelli Ln Ste 1g, Los Gatos, California |
| Authorized Official Name and Position | Michael Edmond Kan (PRESIDENT) |
| Authorized Official Contact | 4083782900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Kan Md 360 Dardanelli Ln Ste 1g Los Gatos CA 95032-1421 Ph: (408) 378-2900 | Michael E Kan Md 360 Dardanelli Ln Ste 1g Los Gatos CA 95032-1421 Ph: (408) 378-2900 |
| NPI Number | 1689975435 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Medicare PECOS PAC ID | 9739346602 |
|---|---|
| Medicare Enrollment ID | O20120203000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689975435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G53368 (California) | Primary |
| Provider Name | Michael E Kan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558414623 PECOS PAC ID: 3173701281 Enrollment ID: I20110620000463 |
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