# GK URGICARE,INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** YES
- **Other names:** sj medical clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912175456
- **Legal business name:** YES
- **Authorized official:** DR. VIDHYA V KOKA MD (OWNER)
- **Authorized official phone:** (951) 665-1100

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | A60821 | CA | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/21/2008