# GK URGI CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAN JACINTO MEDICAL CLINIC/ URGI CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801079892
- **Authorized official:** VIDHYA KOKA M.D. (OWNER)
- **Authorized official phone:** (951) 665-1100

## Contact information

- **Practice address:** 1695 S SAN JACINTO AVE, \# A, SAN JACINTO, CA 92583
- **Practice address phone:** (951) 665-1100
- **Mailing address:** 1695 S SAN JACINTO AVE STE A, SAN JACINTO, CA 92583-5103
- **Mailing address phone:** (951) 665-1100
- **Mailing address fax:** (951) 665-1414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A55869 | CA | — |
| 208000000X | Pediatrics Physician | A60821 | CA | — |
| 208D00000X | General Practice Physician | A60821 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 08/18/2008