Organization
SK MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN KABONGO MD (CEO)
(760) 520-1920
Entity
Organization
Contact information
Practice address
911 E VALLEY PKWY, ESCONDIDO, CA 92025-3428
(760) 520-1920
(760) 741-2026
Mailing address
911 E VALLEY PKWY, ESCONDIDO, CA 92025-3428
(760) 520-1920
(760) 741-2026
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
FNP41999
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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