| |
10200 Main St Lamont CA 93241-1700 | |
(661) 587-2468 | |
(661) 587-6403 |
Full Name | |
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Speciality | Family Medicine |
Location | 10200 Main St, Lamont, California |
Authorized Official Name and Position | Martha Isabel Garcia (ADMINISTRATION) |
Authorized Official Contact | 6615872468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8303 Brimhall Rd Bldg 1500 Bakersfield CA 93312-2243 Ph: (661) 587-2468 | 10200 Main St Lamont CA 93241-1700 Ph: (661) 587-2468 |
NPI Number | 1003475823 |
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Provider Enumeration Date | 06/06/2019 |
Last Update Date | 10/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003475823 | NPI | - | NPPES |
1720282585 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Clinica Del Pueblo Medical Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Main St Ste B, Lamont, CA 93241 Phone: 661-845-1788 Fax: 661-845-1791 | |
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 |