Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Keola Medical Group Inc

Organization Family Medicine Physician · NPI 1235723891

Keola Medical Group Inc provides Family Medicine Physician services in San Jose, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1569 Lexann Ave Ste 210
San Jose, CA 95121-1795
Phone: (408) 313-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1235723891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Do — Medical Director · (408) 313-7620
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address6850 Lincoln Ave Ste 103, Buena Park, CA 90620-4179

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