Organization
KEALANI SINE MD INC
Active
Other names
Pine Street Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KEALANI KANEHE SINE MD (OWNER/PRESIDENT)
(559) 302-7456
Entity
Organization
Contact information
Practice address
216 E PINE ST, EXETER, CA 93221-1750
(559) 302-7456
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A61936
CA
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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