Healthcare Provider Details

I. General information

NPI: 1114868106
Provider Name (Legal Business Name): JUNE MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 W EL CAMINO REAL STE 7
MOUNTAIN VIEW CA
94040-2462
US

IV. Provider business mailing address

1401 21ST ST STE R
SACRAMENTO CA
95811-5226
US

V. Phone/Fax

Practice location:
  • Phone: 650-582-1008
  • Fax: 650-582-1007
Mailing address:
  • Phone: 650-582-1008
  • Fax: 650-582-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KISHORE B KHANKARI
Title or Position: PRESIDENT
Credential: MD
Phone: 312-730-4223