| Kaweah Health Medical Group | |
|
400 W Mineral King Ave Visalia CA 93291-6237 | |
| (559) 624-5006 | |
| (559) 735-3006 |
| Full Name | Kaweah Health Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 400 W Mineral King Ave, Visalia, California |
| Authorized Official Name and Position | Malinda Tupper (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5966244065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaweah Health Medical Group 400 W Mineral King Ave Visalia CA 93291-6237 Ph: (559) 624-5006 | Kaweah Health Medical Group 400 W Mineral King Ave Visalia CA 93291-6237 Ph: (559) 624-5006 |
| NPI Number | 1619353042 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619353042 | NPI | - | NPPES |
| CA171873 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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