NPI | 1801079892 |
---|---|
Doing Business As | SAN JACINTO MEDICAL CLINIC/ URGI CARE |
Entity Type | Organization |
Authorized Contact | VIDHYA KOKA Owner 951-665-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A60821) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A55869) |
208000000X Pediatrics (Licence: CA A60821) | |
Enumeration Date | 2007-12-12 |
Last Update Date | 2008-08-18 |