Kairis, Lisa Ann

Kairis, Lisa Ann is an individual health care provider with primary practice located at 11370 Anderson St Suite 3900, Loma Linda CA 92354-3450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kairis, Lisa Ann can be contacted via phone (909) 558-2806.

Contact Information

Primary practice address
11370 Anderson St Suite 3900 Loma Linda CA 92354-3450
Fax: (909) 558-2449
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD10285 Hawaii
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A71709 California

Profile Details

NPI number 1801959648
LBN Legal business name Kairis, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801959648 NPPES
Hawaii Other 249151 HMSA
Hawaii Other 516467 HMSA
Hawaii Other MD10285 HMSA
Hawaii MEDICAID 55614401 HMSA

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