| Humu Health Llc | |
|
1261 Travis Blvd Ste 375 Fairfield CA 94533-4811 | |
| (707) 763-2515 | |
| Not Available |
| Full Name | Humu Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1261 Travis Blvd Ste 375, Fairfield, California |
| Authorized Official Name and Position | Olukemi A Kuku (COO) |
| Authorized Official Contact | 7077632515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humu Health Llc 2401 Waterman Blvd Ste A4-275 Fairfield CA 94534-1800 Ph: (714) 323-3822 | Humu Health Llc 1261 Travis Blvd Ste 375 Fairfield CA 94533-4811 Ph: (707) 763-2515 |
| NPI Number | 1184387052 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 11/27/2021 |
| Medicare PECOS PAC ID | 8426446485 |
|---|---|
| Medicare Enrollment ID | O20211022002392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184387052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Olukemi A Kuku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114417854 PECOS PAC ID: 5395096986 Enrollment ID: I20180920001822 |
| Provider Name | Harpreet Kaur Johl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649930199 PECOS PAC ID: 7416340864 Enrollment ID: I20220207001201 |
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