Organization
KOOKOOTSEDES MEDICAL PC
Active
Other names
OC Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE KOOKOOTSEDES (MD)
(949) 535-4001
Entity
Organization
Contact information
Practice address
25411 CABOT RD STE 109, LAGUNA HILLS, CA 92653-5517
(949) 535-4001
Mailing address
25411 CABOT RD STE 109, LAGUNA HILLS, CA 92653-5517
(949) 535-4001
(949) 535-4002
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
03/25/2025
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