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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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