Kun Bai Business Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KUN BAI BUSINESS INC.

Practice address

36785 Braken Way
Lake Elsinore, CA 92532-3045

Phone

(951) 430-4405

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

NA Zhao

Title

Cfo

Phone

(818) 267-0352

Specialties & licenses 1

Addresses

Other names 1

• Kun Bai Business Inc Former legal business name

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1972157873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N HAVEN AVE STE 210",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644951",
            "telephone_number": "909-476-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36785 BRAKEN WAY",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925323045",
            "telephone_number": "951-430-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30667 Brookstone Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925307405",
            "country_code": "US",
            "telephone_number": "951-226-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KUN BAI BUSINESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "NA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-267-0352"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kun Bai Business Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yoshitaka Dan Koyasu, DPT
• Peter A Krakowiak, DMD
• Analysia Kroese
• Richard J Krottmayer Jr.
• Kaitlyn Nicole Krueger
• Sandar Kyi, MD
• Tera Labrosciano, M.A., CCC-SLP
• Debra D Lacy
• Kaleb Can Lai
• Lake Elsinore Clinica Medica Familiar a Medical Corporation

• Assisted Living Facility in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.