Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth P. Jiang, MD, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1275674814

Kenneth P. Jiang, MD, Inc is a Non-Pharmacy Dispensing Site in Hollister, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

901 Sunset Dr 3
Hollister, CA 95023-5613
Phone: (831) 636-4994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A66628 (CA)

Record details

NPI number1275674814
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 8, 2007
Last updated in NPPESOctober 22, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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