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Organization
SAN CLEMENTE MEDI-CENTER
Active
Organization
SAN CLEMENTE MEDI-CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARSHANA KADAKIA MD (MEDICAL DOCTOR)
(949) 492-4994
Entity
Organization
Contact information
Practice address
4508 AVENIDA PRIVADO, OCEANSIDE, CA 92057-7735
(760) 473-0444
Mailing address
910 S EL CAMINO REAL, SAN CLEMENTE, CA 92672-4279
(760) 473-0444
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PA21502
CA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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