| Gita K.medical Corp. | |
|
26671 Aliso Creek Rd Suite 205 Aliso Viejo CA 92656-4809 | |
| (949) 864-6667 | |
| Not Available |
| Full Name | Gita K.medical Corp. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 26671 Aliso Creek Rd, Aliso Viejo, California |
| Authorized Official Name and Position | Gita Jamshidi Kalantari (FAMILY MEDICINE DOCTOR) |
| Authorized Official Contact | 9493620208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gita K.medical Corp. 4 Crystalglen Aliso Viejo CA 92656-1909 Ph: (714) 595-0545 | Gita K.medical Corp. 26671 Aliso Creek Rd Suite 205 Aliso Viejo CA 92656-4809 Ph: (949) 864-6667 |
| NPI Number | 1568756971 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568756971 | NPI | - | NPPES |
| 00A958470 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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