Kwan Integrative Clinic, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

NT 60318448 Issued in WA

Legal business name

KWAN INTEGRATIVE CLINIC, LLC

Practice address

8012 15TH Ave NW
Seattle, WA 98117-3601

Phone

(425) 686-9369

NPI assigned

Dec 3, 2014

Organization subpart

Yes

Parent organization

KWAN INTEGRATIVE CLINIC, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Calvin Kwan, N.D.

Title

Owner

Phone

(425) 686-9369

Specialties & licenses 1

Addresses

Tax ID family

Kwan Integrative Clinic LLC2 organizations share this tax ID, including this one

Part of

Kwan Integrative Clinic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kwan Integrative Clinic, LLC

  • Naturopath
  • Seattle, WA
  • NPI 1184964926
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kwan Integrative Clinic, LLC

  • Naturopath
  • Seattle, WA
  • NPI 1184964926
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1669879821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173601",
            "telephone_number": "425-686-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWAN INTEGRATIVE CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KWAN INTEGRATIVE CLINIC, LLC",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-686-9369",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "NT 60318448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliya Kuznetsova, LSWAIC
• Lovemore Simbarashe Kuzomunhu, MD
• Dennis Jay Kvidera, MD
• Ryan Sumin Kwak
• Kwan Integrative Clinic, LLC
• Tao Sheng C Kwan-Gett, MD
• Annie Kwan, DDS
• Herman C Kwan, MD
• Nicole Allison Kwan, MD
• Vincent Kwan

• Non-Pharmacy Dispensing Site in Seattle, WA
• Providers in Seattle, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.