Organization
OC RHEUMATOLOGY
Active
Organization
OC RHEUMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE KOOKOOTSEDES (PRESIDENT)
(949) 335-7993
Entity
Organization
Contact information
Practice address
25401 CABOT RD STE 101, LAGUNA HILLS, CA 92653-5513
(949) 335-7993
Mailing address
25401 CABOT RD STE 101, LAGUNA HILLS, CA 92653-5513
(949) 335-7993
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A62644
CA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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