Ikaika Health, Inc.

NPI 1245331891 - Clinic/Center - 261QP2000X

NPI Details
NPI 1245331891
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACON C JACON
Position PRESIDENT/ CEO
Phone (510) 393-7750
Fax
Practice Location
194 FRANCISCO LANE
SUITE 104
FREMONT CA, 94539, US
Phone (510) 393-7750
Fax
Business Location
39993 FREMONT BOULEVARD, #306
FREMONT CA, 94538, US
Phone (510) 393-7750
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State California
License Number PT24266
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According to our database, Ikaika Health, Inc. NPI is 1245331891, taxonomy code is 261QP2000X and license number is PT24266, license state is located at California. Ikaika Health, Inc. physically located at 194 Francisco Lane, Fremont CA, 94539. NPI Number 1033115704 has the healthcare provider type.

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1245331891 NPI number is provided on an as is basis without warranty of any kind. 1245331891 is maintained by the National Plan & Provider Enumeration System. The contents of Ikaika Health, Inc. are for informational purposes only.