NPI 1114258464

Alka R Kothari MD INC

Organisation Clinical Medical Laboratory Orange, CA

Practice location

Address: 765 N Tustin St, Orange, CA 92867-7128
Phone: (714) 369-4247
Fax: (714) 997-8383
Mailing address: PO Box 10076, Van Nuys, CA 91410-0076

Authorised official

Name: Alka R Kothari
Title: President
Phone: (562) 868-3751

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 05D1099388 (CA)

Other Clinical Medical Laboratory providers in California →

Registry record

NPI: 1114258464
Entity type: Organization
NPI issued: 27 Jan 2010
Record last updated: 27 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.