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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