Individual
DR. LISA ANN KAIRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, SUITE 3900, LOMA LINDA, CA 92354-3450
(909) 558-2806
(909) 558-2449
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A71709
CA
207V00000X
Obstetrics & Gynecology Physician
MD10285
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249151
HMSA
HI
01
—
516467
UNITED HEALTHCARE
HI
05
—
55614401
—
HI
01
—
MD10285
MDX
HI
Enumeration date
12/19/2006
Last updated
08/15/2021
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