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KOOKOOTSEDES MEDICAL PC NPI 1861138505


NPI Information

NPI: 1861138505
Provider Name: KOOKOOTSEDES MEDICAL PC

Doing Business As: OC RHEUMATOLOGY

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
25401 CABOT RD STE 101
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 535-4001
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KOOKOOTSEDES MEDICAL PC is a rheumatology internal medicine in Laguna Hills, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. KOOKOOTSEDES MEDICAL PC NPI is 1861138505. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oc Rheumatology.

The provider's business location address is:

25401 CABOT RD STE 101
LAGUNA HILLS, CA
ZIP 92653-513
Phone: (949) 535-4001

The provider's authorized official is Gayle Kookootsedes .
The authorized official title is Md and has the following contact phone number (949) 535-4001.

The enumeration date for this NPI number is 5/6/2022 and was last updated on 10/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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