Organization
P K A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT KOUWABUNPAT MD (PRESIDENT / PHYSICIAN)
(626) 497-9609
Entity
Organization
Contact information
Practice address
1610 W EDINGER AVE STE B, SANTA ANA, CA 92704-4339
(714) 641-1610
(714) 641-1146
Mailing address
1610 W EDINGER AVE, STE B, SANTA ANA, CA 92704-4339
(714) 641-1610
(714) 641-1146
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2008
Last updated
02/23/2023
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