Sj Medical Clinic

LBN: Gk Urgicare,Inc
Sj Medical Clinic is an health care organization with primary practice located at 1695 S San Jacinto Ave Suite A, San Jacinto CA 92583. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Gk Urgicare,Inc can be contacted via phone (951) 665-1100, or through Koka, Vidhya V via phone (951) 665-1100.

Contact Information

Primary practice address
1695 S San Jacinto Ave Suite A San Jacinto CA 92583
Phone: (951) 665-1100
Fax: (951) 665-1414
Website:
Map and Directions
Authorized official contact:
Name: Koka, Vidhya V Doctor of Medicine (MD)
Phone: (951) 665-1100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X A60821 California

Profile Details

NPI number 1912175456
LBN Legal business name Gk Urgicare,Inc
DBA Doing business as Sj Medical Clinic
Authorized official Koka, Vidhya V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 19th, 2008
Last updated Feb 21st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912175456 NPPES
California Other A60821 CALIF MEDICAL LICENSE

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