# SAN CLEMENTE MEDI-CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972881241
- **Authorized official:** DR. DARSHANA KADAKIA MD (MEDICAL DOCTOR)
- **Authorized official phone:** (949) 492-4994

## Contact information

- **Practice address:** 4508 AVENIDA PRIVADO, OCEANSIDE, CA 92057-7735
- **Practice address phone:** (760) 473-0444
- **Mailing address:** 910 S EL CAMINO REAL, SAN CLEMENTE, CA 92672-4279
- **Mailing address phone:** (760) 473-0444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | PA21502 | CA | Yes |

## Other

- **Enumeration date:** 08/03/2011
- **Last updated:** 08/03/2011