| Kanani Medical | |
|
175 Concourse Blvd Santa Rosa CA 95403-8217 | |
| (707) 284-9200 | |
| Not Available |
| Full Name | Kanani Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 175 Concourse Blvd, Santa Rosa, California |
| Authorized Official Name and Position | Babak Kanani (FOUNDER) |
| Authorized Official Contact | 7072849200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanani Medical 175 Concourse Blvd Santa Rosa CA 95403-8217 Ph: (707) 284-9200 | Kanani Medical 175 Concourse Blvd Santa Rosa CA 95403-8217 Ph: (707) 284-9200 |
| NPI Number | 1578159869 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578159869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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