NPI | 1023534328 |
---|---|
Doing Business As | SJ MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | VIDHYA VENKATA KOKA President 951-566-6585 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A60823) |
Enumeration Date | 2017-08-17 |
Last Update Date | 2022-07-21 |