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29099 Hospital Road Suite 112 Lake Arrowhead CA 92352 | |
(909) 337-3661 | |
(909) 337-3570 |
Full Name | |
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Speciality | Family Medicine |
Location | 29099 Hospital Road Suite 112, Lake Arrowhead, California |
Authorized Official Name and Position | Donald D Doty (OWNER/MEDICAL PROVIDER) |
Authorized Official Contact | 9093373661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 773 Blue Jay CA 92317-0773 Ph: (909) 337-3661 | 29099 Hospital Road Suite 112 Lake Arrowhead CA 92352 Ph: (909) 337-3661 |
NPI Number | 1366687881 |
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Provider Enumeration Date | 12/12/2008 |
Last Update Date | 12/12/2008 |
Identifier | Type | State | Issuer |
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1366687881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Elite Hospitalist Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29101 Hospital Rd, Lake Arrowhead, CA 92352 Phone: 844-474-4019 Fax: 909-336-5031 | |
Martin Rocha Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Highway 173, Suite 6, Lake Arrowhead, CA 92321 Phone: 909-336-3670 Fax: 909-336-3674 |