Organization
GK URGICARE,INC
Active
Parent organization
YES
Other names
sj medical clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
DR. VIDHYA V KOKA MD (OWNER)
(951) 665-1100
Entity
Organization
Contact information
Practice address
1695 S SAN JACINTO AVE, SUITE A, SAN JACINTO, CA 92583
(951) 665-1100
(951) 665-1414
Mailing address
1695 S SAN JACINTO AVE, SUITE A, SAN JACINTO, CA 92583
(951) 665-1100
(951) 665-1414
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A60821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A60821
CALIF MEDICAL LICENSE
CA
Enumeration date
02/19/2008
Last updated
02/21/2008
About Stedi
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