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Organization
GK URGICARE,INC
Active
Organization
GK URGICARE,INC
Active
Parent organization
YES
Other names
sj medical clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
DR. VIDHYA V KOKA MD (OWNER)
(951) 665-1100
Entity
Organization
Contact information
Practice address
1695 S SAN JACINTO AVE, SUITE A, SAN JACINTO, CA 92583
(951) 665-1100
(951) 665-1414
Mailing address
1695 S SAN JACINTO AVE, SUITE A, SAN JACINTO, CA 92583
(951) 665-1100
(951) 665-1414
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A60821
CA
Other
Enumeration date
02/19/2008
Last updated
02/21/2008
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