Organization
THOTA & KOKA, AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISH R THOTA (MANAGING DIRECTOR)
(619) 287-7246
Entity
Organization
Contact information
Practice address
2732 NAVAJO RD, SUITE 200, EL CAJON, CA 92020-2149
(619) 287-7246
(619) 825-8250
Mailing address
2732 NAVAJO RD, SUITE 200, EL CAJON, CA 92020-2149
(619) 287-7246
(619) 825-8250
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
G84603
CA
208VP0000X
Pain Medicine Physician
Primary
A53526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53526
STATE LICENSE
CA
Enumeration date
02/27/2016
Last updated
02/27/2016
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