Provider Demographics
NPI:1972362861
Name:ONE KINETIC INC
Entity type:Organization
Organization Name:ONE KINETIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VUONG
Authorized Official - Middle Name:DUC
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:831-227-5083
Mailing Address - Street 1:1729 SEABRIGHT AVE STE E
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2120
Mailing Address - Country:US
Mailing Address - Phone:831-227-5083
Mailing Address - Fax:831-222-3053
Practice Address - Street 1:1729 SEABRIGHT AVE STE E
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2120
Practice Address - Country:US
Practice Address - Phone:831-227-5083
Practice Address - Fax:831-222-3053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service