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Organization
VIJAY C KATUKOTA, A MEDICAL CORPORATION
Active
Organization
VIJAY C KATUKOTA, A MEDICAL CORPORATION
Active
Other names
VIJAY C. KATUKOTA,, A MEDICAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY CHANDRA KATUKOTA M.D. (MEDICAL DIRECTOR)
(909) 623-9900
Entity
Organization
Contact information
Practice address
1177 N PARK AVE, POMONA, CA 91768-3028
(909) 623-9900
(909) 623-1993
Mailing address
1177 N PARK AVE, POMONA, CA 91768-3028
(909) 623-9900
(909) 623-1993
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A38343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A383430
—
CA
Enumeration date
12/19/2006
Last updated
11/04/2010
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