Provider Demographics
NPI:1558974097
Name:JISEKI HEALTH INC
Entity Type:Organization
Organization Name:JISEKI HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF TECHNOLOGY OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGARAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-754-7354
Mailing Address - Street 1:1150 S KING RD STE 40
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2140
Mailing Address - Country:US
Mailing Address - Phone:855-754-7354
Mailing Address - Fax:
Practice Address - Street 1:1150 S KING RD STE 40
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2140
Practice Address - Country:US
Practice Address - Phone:855-754-7354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center