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Organization
KENNETH P. JIANG MD, INC
Active
Organization
KENNETH P. JIANG MD, INC
Active
Other names
Cornerstone Health
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SEIJI KUSUMOTO MHS, PA (PRESIDENT)
(831) 636-3116
Entity
Organization
Contact information
Practice address
890 SUNSET DR., SUITE A-2, HOLLISTER, CA 95023
(831) 636-3116
(831) 636-1204
Mailing address
1760 F AIRLINE HWY #193, HOLLISTER, CA 95023
(831) 636-1204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A66628
CA
207RI0200X
Infectious Disease Physician
Primary
A65656
CA
Other
Enumeration date
04/24/2007
Last updated
09/11/2025
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