Organization
JOHN KELADA M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MINA KELADA MD (PRESIDENT)
(530) 677-3688
Entity
Organization
Contact information
Practice address
1000 CAMERADO DR, CAMERON PARK, CA 95682-8864
(530) 677-3688
Mailing address
PO BOX 455, SHINGLE SPRINGS, CA 95682-0455
(530) 677-3688
(530) 677-5563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
A125118
CA
Other
Enumeration date
01/18/2018
Last updated
08/14/2022
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