| Salvador E Lasala Md A Medical Corporation | |
|
399 E Highland Ave Ste 214 San Bernardino CA 92404-3816 | |
| (909) 886-3100 | |
| (909) 886-4100 |
| Full Name | Salvador E Lasala Md A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 399 E Highland Ave, San Bernardino, California |
| Authorized Official Name and Position | Salvador E Lasala (PRESIDENT) |
| Authorized Official Contact | 9098863100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salvador E Lasala Md A Medical Corporation 399 E Highland Ave Ste 214 San Bernardino CA 92404-3816 Ph: (909) 886-3100 | Salvador E Lasala Md A Medical Corporation 399 E Highland Ave Ste 214 San Bernardino CA 92404-3816 Ph: (909) 886-3100 |
| NPI Number | 1417161621 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417161621 | NPI | - | NPPES |
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