Organization
KUOKOA DME PROFESSIONAL CORPORATION
Active
Other names
Kuokoa DME
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER SMITH MD (PRESIDENT)
(808) 652-3621
Entity
Organization
Contact information
Practice address
1205 LINDA VISTA DR STE B, SAN MARCOS, CA 92078-3825
(760) 304-8166
Mailing address
1205 LINDA VISTA DR STE B, SAN MARCOS, CA 92078-3825
(760) 304-8166
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
04/25/2025
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