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

Keola Medical Group Inc

Organization Family Medicine Physician · NPI 1235723891

Keola Medical Group Inc is a Family Medicine Physician 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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