Organization
RAJESH J KADAKIA M D A MEDICAL CORPORATION
Active
Organization
RAJESH J KADAKIA M D A MEDICAL CORPORATION
Active
Other names
San Clemente Medi Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH J KADAKIA MD (OWNER PRESIDENT)
(949) 492-4994
Entity
Organization
Contact information
Practice address
910 S EL CAMINO REAL, SAN CLEMENTE, CA 92672-4279
(949) 492-4994
(949) 492-8517
Mailing address
910 S EL CAMINO REAL, SAN CLEMENTE, CA 92672-4279
(949) 492-4994
(949) 492-8517
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
10/12/2006
Last updated
03/25/2010
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