Kmk Medical Service, P.c. | |
14742 Newport Ave Ste 209 Tustin CA 92780-6177 | |
(949) 395-5835 | |
Not Available |
Full Name | Kmk Medical Service, P.c. |
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Speciality | Clinic/center |
Location | 14742 Newport Ave Ste 209, Tustin, California |
Authorized Official Name and Position | Kevin Khouie (CEO) |
Authorized Official Contact | 9493955835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kmk Medical Service, P.c. 3334 E Coast Hwy # 713 Corona Del Mar CA 92625-2328 Ph: () - | Kmk Medical Service, P.c. 14742 Newport Ave Ste 209 Tustin CA 92780-6177 Ph: (949) 395-5835 |
NPI Number | 1396486197 |
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Provider Enumeration Date | 04/05/2022 |
Last Update Date | 04/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396486197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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