| Dr Koka's Clinic Inside Walmart | |
|
1861 S San Jacinto Ave San Jacinto CA 92583-5605 | |
| (951) 566-6585 | |
| (888) 696-2590 |
| Full Name | Dr Koka's Clinic Inside Walmart |
|---|---|
| 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 |
|---|---|
| Dr Koka's Clinic Inside Walmart 422 N San Jacinto St Hemet CA 92543-3124 Ph: (951) 566-6585 | Dr Koka's Clinic Inside Walmart 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 |
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