Provider Demographics
NPI:1104619279
Name:KAA SISTERS, INC.
Entity type:Organization
Organization Name:KAA SISTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREH
Authorized Official - Middle Name:
Authorized Official - Last Name:YESAIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-994-0700
Mailing Address - Street 1:9791 LINCOLN VILLAGE DR STE E
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-3326
Mailing Address - Country:US
Mailing Address - Phone:916-994-0700
Mailing Address - Fax:916-994-0703
Practice Address - Street 1:9791 LINCOLN VILLAGE DR STE E
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-3326
Practice Address - Country:US
Practice Address - Phone:916-994-0700
Practice Address - Fax:916-994-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy