| Lakes Urgent & Family Medical Center | |
|
2437 Fenton St Ste A Chula Vista CA 91914-3517 | |
| (619) 397-0866 | |
| (619) 397-0816 |
| Full Name | Lakes Urgent & Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2437 Fenton St, Chula Vista, California |
| Authorized Official Name and Position | Joy Emmanuel-cochrane (OWNER) |
| Authorized Official Contact | 6193970866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Urgent & Family Medical Center 2437 Fenton St Ste A Chula Vista CA 91914-3517 Ph: (619) 397-0866 | Lakes Urgent & Family Medical Center 2437 Fenton St Ste A Chula Vista CA 91914-3517 Ph: (619) 397-0866 |
| NPI Number | 1932299989 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932299989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6250 (California) | Primary |
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