Organization
UTHAIAH KOKKALERA MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA ALNACHEF (OFFICE MANAGER)
(818) 700-7900
Entity
Organization
Contact information
Practice address
18250 ROSCOE BLVD., # 335, NORTHRIDGE, CA 91325-4282
(818) 700-7900
(818) 700-7901
Mailing address
PO BOX 33276, GRANADA HILLS, CA 91394-3276
(818) 700-7900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A100600
CA
Other
Enumeration date
10/16/2007
Last updated
12/11/2012
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