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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