| |
1861 S San Jacinto Ave San Jacinto CA 92583-5605 | |
(951) 566-6585 | |
(888) 696-2590 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1861 S San Jacinto Ave, San Jacinto, California |
Authorized Official Name and Position | Vidhya Venkata Koka (PRESIDENT) |
Authorized Official Contact | 9515666585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
422 N San Jacinto St Hemet CA 92543-3124 Ph: (951) 566-6585 | 1861 S San Jacinto Ave San Jacinto CA 92583-5605 Ph: (951) 566-6585 |
NPI Number | 1093238107 |
---|---|
Provider Enumeration Date | 07/20/2017 |
Last Update Date | 07/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093238107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A60821 (California) | Primary |
New Life Womens Health Center,a Nursing Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Suite N, San Jacinto, CA 92583 Phone: 951-654-8800 | |
Ramona Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 E Main St, San Jacinto, CA 92583 Phone: 951-654-9367 Fax: 951-654-0839 | |
Valley Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 S San Jacinto Ave, San Jacinto, CA 92583 Phone: 951-588-7692 Fax: 951-281-0416 |