Clinica Del Pueblo Medical Group Corp | |
10200 Main St Ste B Lamont CA 93241-1700 | |
(661) 845-1788 | |
(661) 845-1791 |
Full Name | Clinica Del Pueblo Medical Group Corp |
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Speciality | Family Medicine |
Location | 10200 Main St Ste B, Lamont, California |
Authorized Official Name and Position | Sam N Ratnayake (DIRECTOR) |
Authorized Official Contact | 6613773777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinica Del Pueblo Medical Group Corp 10200 Main St Ste B Lamont CA 93241-1700 Ph: (661) 845-1788 | Clinica Del Pueblo Medical Group Corp 10200 Main St Ste B Lamont CA 93241-1700 Ph: (661) 845-1788 |
NPI Number | 1104127109 |
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Provider Enumeration Date | 11/06/2010 |
Last Update Date | 11/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104127109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A056363 (California) | Primary |
Del Pueblo Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Main St, Lamont, CA 93241 Phone: 661-845-1788 Fax: 661-845-1791 | |
Clinica Del Pueblo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Main St, Lamont, CA 93241 Phone: 661-845-2399 Fax: 661-845-1791 |