Kenneth P. Jiang, M.d., Inc.

NPI 1275674814 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1275674814
Enumeration Date 02/08/2007
Last Updated 10/22/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNY KENNY
Position DIRECTOR OF OPERATIONS
Phone (831) 636-4994
Fax
Practice Location
901 SUNSET DR
3
HOLLISTER CA, 95023-5613, US
Phone (831) 636-4994
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone (858) 624-2990
Fax
Toxanomy
Taxonomy Code 332900000X
License State California
License Number A66628
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According to our database, Kenneth P. Jiang, M.d., Inc. NPI is 1275674814, taxonomy code is 332900000X and license number is A66628, license state is located at California. Kenneth P. Jiang, M.d., Inc. physically located at 901 Sunset Dr, Hollister CA, 95023-5613. NPI Number 1033115704 has the healthcare provider type.

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1275674814 NPI number is provided on an as is basis without warranty of any kind. 1275674814 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth P. Jiang, M.d., Inc. are for informational purposes only.