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NPI Code Detail

MEDICARE: KRIS OKUMU MD A MEDICAL CORPORATION

MEDICARE: KRIS OKUMU MD A MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0117XOrthopaedic Surgery of the Spine PhysicianA92195CA

General Provider Information

NPI Number : 1902144603
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRIS OKUMU MD A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 2490 HOSPITAL DR STE 106
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4117
Country : US
Telephone Number : 650-735-2005
Fax Number :
Provider Business Practice Location Address
First Line : 2490 HOSPITAL DR STE 106
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4117
Country : US
Telephone Number : 650-735-2005
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. KRIS OKUMU
Credential : MD
Telephone Number : 650-735-2005
Provider Enumeration Date : 01/30/2013
Last Update Date : 01/30/2013

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