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Organization
PACIFIC RENAL CARE MEDICAL CORP
Active
Organization
PACIFIC RENAL CARE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOGINDER S JODHKA MD (PRESIDENT)
(714) 241-9200
Entity
Organization
Contact information
Practice address
11180 WARNER AVE STE 463, FOUNTAIN VALLEY, CA 92708-7505
(714) 241-9200
Mailing address
PO BOX 20230, FOUNTAIN VALLEY, CA 92728-0230
(714) 241-9200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
06/26/2017
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