Masters, Renia Kawana

Masters, Renia Kawana is an individual health care provider with primary practice located at 751 S Bascom Ave Podiatry Department, San Jose CA 95128-2604. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Masters, Renia Kawana can be contacted via phone (408) 885-7821.

Contact Information

Primary practice address
751 S Bascom Ave Podiatry Department San Jose CA 95128-2604
Phone: (408) 885-7821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4146 California

Profile Details

NPI number 1730145277
LBN Legal business name Masters, Renia Kawana
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 23rd, 2012 - about 13 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 1730145277 NPPES
California MEDICAID 00E41460

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