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Organization

KESTUTIS V. KURAITIS, M.D., PH.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KESTUTIS V. KURAITIS M.D. (PRESIDENT)
(760) 351-2626
Entity
Organization

Contact information

Practice address
751 W LEGION RD, SUITE 204, BRAWLEY, CA 92227-7732
(760) 351-2626
(760) 351-2617
Mailing address
PO BOX 651, BRAWLEY, CA 92227-0651
(760) 351-2626
(760) 351-2617

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0086660
CA
Enumeration date
01/11/2007
Last updated
11/23/2011
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