| C. Lundquist Md Inc | |
|
274 One And Half Rampart Blvd Los Angeles CA 90057 | |
| (213) 381-7377 | |
| (213) 381-7372 |
| Full Name | C. Lundquist Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 274 One And Half Rampart Blvd, Los Angeles, California |
| Authorized Official Name and Position | Christopher R Lundquist (OWNER/PRESIDENT) |
| Authorized Official Contact | 2133817377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Lundquist Md Inc 274 One And Half Rampart Blvd Los Angeles CA 90057 Ph: (213) 381-7377 | C. Lundquist Md Inc 274 One And Half Rampart Blvd Los Angeles CA 90057 Ph: (213) 381-7377 |
| NPI Number | 1174762009 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174762009 | NPI | - | NPPES |
| G45191 | Other | CA | MEDICAL CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G45191 (California) | Primary |
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