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Organization
KAWEAH DELTA HEALTH CARE INC
Active
Organization
KAWEAH DELTA HEALTH CARE INC
Active
Other names
Kaweah Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA TUPPER (CHIEF FINANCIAL OFFICER)
(596) 624-4065
Entity
Organization
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-5006
(559) 735-3006
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-5006
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA171873
MEDICARE PTAN
CA
Enumeration date
08/07/2015
Last updated
07/24/2024
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