Organization
KAWEAH NEUROLOGICAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA ALVA (OFFICE MANAGER)
(559) 625-1054
Entity
Organization
Contact information
Practice address
501 S SANTA FE AVE, VISALIA, CA 93292-2940
(559) 625-1054
(559) 625-1385
Mailing address
501 S SANTA FE AVE, VISALIA, CA 93292-2940
(559) 625-1054
(559) 625-1385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00G515050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184790784
INDIVIDUAL NPI
CA
01
—
1578692141
INDIVIDUAL NPI
CA
Enumeration date
05/02/2007
Last updated
08/22/2020
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