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Organization
KEOLA MEDICAL GROUP INC
Active
Organization
KEOLA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DO M.D. (MEDICAL DIRECTOR)
(408) 313-7620
Entity
Organization
Contact information
Practice address
1569 LEXANN AVE STE 210, SAN JOSE, CA 95121-1795
(408) 313-7620
Mailing address
6850 LINCOLN AVE STE 103, BUENA PARK, CA 90620-4179
(213) 321-4125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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