| Las Palmas Medical Group Corp. | |
|
602 N Euclid Ave Suite A Ontario CA 91762-3224 | |
| (909) 391-3448 | |
| Not Available |
| Full Name | Las Palmas Medical Group Corp. |
|---|---|
| Speciality | General Practice |
| Location | 602 N Euclid Ave, Ontario, California |
| Authorized Official Name and Position | Irma Lopez (OWNER) |
| Authorized Official Contact | 9093913448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Palmas Medical Group Corp. 602 N Euclid Ave Suite A Ontario CA 91762-3224 Ph: (909) 391-3448 | Las Palmas Medical Group Corp. 602 N Euclid Ave Suite A Ontario CA 91762-3224 Ph: (909) 391-3448 |
| NPI Number | 1013214568 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013214568 | NPI | - | NPPES |
| 1770663551 | Medicaid | CA | |
| 1164503652 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G57022 (California) | Primary |
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