Organization
ALKA R KOTHARI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALKA R KOTHARI MD (PRESIDENT)
(562) 868-3751
Entity
Organization
Contact information
Practice address
765 N TUSTIN ST, ORANGE, CA 92867-7128
(714) 369-4247
(714) 997-8383
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1099388
CA
Other
Enumeration date
01/27/2010
Last updated
05/27/2010
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