# KENNETH P. JIANG MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669691374
- **Authorized official:** RAY SEIJI KUSUMOTO MHS, PA (PRESIDENT)
- **Authorized official phone:** (831) 636-3116

## Contact information

- **Practice address:** 890 SUNSET DR., SUITE A-2, HOLLISTER, CA 95023
- **Practice address phone:** (831) 636-3116
- **Practice address fax:** (831) 636-1204
- **Mailing address:** 1760 F AIRLINE HWY \#193, HOLLISTER, CA 95023
- **Mailing address phone:** (831) 636-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A66628 | CA | — |
| 207RI0200X | Infectious Disease Physician | A65656 | CA | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 09/11/2025