# OAK HAVEN MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Haven Diabetes Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265001002
- **Authorized official:** LISA HIGGINS NP (OWNER)
- **Authorized official phone:** (559) 827-2461

## Contact information

- **Practice address:** 1827 S COURT ST STE C, VISALIA, CA 93277-5469
- **Practice address phone:** (559) 570-0501
- **Practice address fax:** (559) 570-0503
- **Mailing address:** 1827 S COURT ST STE C, VISALIA, CA 93277-5469
- **Mailing address phone:** (559) 570-0501
- **Mailing address fax:** (559) 570-0503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2021
- **Last updated:** 07/29/2021