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Organization
GK URGI CARE INC
Active
Organization
GK URGI CARE INC
Active
Other names
DR KOKA'S CLINIC INSIDE WALMART
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDHYA VENKATA KOKA MD (PRESIDENT)
(951) 566-6585
Entity
Organization
Contact information
Practice address
1861 S SAN JACINTO AVE, SAN JACINTO, CA 92583-5605
(951) 566-6585
(888) 696-2590
Mailing address
422 N SAN JACINTO ST, HEMET, CA 92543-3124
(951) 566-6585
(888) 696-2590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A60821
CA
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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