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1396486197
KMK MEDICAL SERVICE, P.C.
TUSTIN, CA
NPI
1396486197
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Entity Type
Organization
Authorized Contact
KEVIN KHOUIE
CEO
949-395-5835
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
KMK MEDICAL SERVICE, P.C.
14742 NEWPORT AVE STE 209
TUSTIN, CA 92780-6177
Phone number: 949-395-5835
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Mailing Address
KMK MEDICAL SERVICE, P.C.
3334 E COAST HWY # 713
CORONA DEL MAR, CA 92625-2328
Phone number:
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