| Kuokoa Dme Professional Corporation | |
|
1205 Linda Vista Dr Ste B San Marcos CA 92078-3825 | |
| (760) 304-8166 | |
| Not Available |
| Full Name | Kuokoa Dme Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1205 Linda Vista Dr Ste B, San Marcos, California |
| Authorized Official Name and Position | Spencer Smith (PRESIDENT) |
| Authorized Official Contact | 8086523621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuokoa Dme Professional Corporation 1205 Linda Vista Dr Ste B San Marcos CA 92078-3825 Ph: (760) 304-8166 | Kuokoa Dme Professional Corporation 1205 Linda Vista Dr Ste B San Marcos CA 92078-3825 Ph: (760) 304-8166 |
| NPI Number | 1649088857 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 04/25/2025 |
| Medicare PECOS PAC ID | 1355861352 |
|---|---|
| Medicare Enrollment ID | O20250220002731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649088857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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