NPI | 1093238107 |
---|---|
Doing Business As | DR KOKA'S CLINIC INSIDE WALMART |
Entity Type | Organization |
Authorized Contact | VIDHYA VENKATA KOKA President 951-566-6585 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A60821) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2017-07-20 |