Organization
GK URGI CARE INC
Active
Other names
SAN JACINTO MEDICAL CLINIC/ URGI CARE
Organization subpart
No
Provider details
NPI number
Authorized official
VIDHYA KOKA M.D. (OWNER)
(951) 665-1100
Entity
Organization
Contact information
Practice address
1695 S SAN JACINTO AVE, # A, SAN JACINTO, CA 92583
(951) 665-1100
Mailing address
1695 S SAN JACINTO AVE STE A, SAN JACINTO, CA 92583-5103
(951) 665-1100
(951) 665-1414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A55869
CA
208000000X
Pediatrics Physician
A60821
CA
208D00000X
General Practice Physician
Primary
A60821
CA
Other
Enumeration date
12/12/2007
Last updated
08/18/2008
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