Lasalle Medical Associates | |
1855 W Redlands Blvd Fl 2 Redlands CA 92373-3145 | |
(909) 890-0407 | |
(909) 890-0575 |
Full Name | Lasalle Medical Associates |
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Speciality | Clinic/center - Multi-specialty |
Location | 1855 W Redlands Blvd Fl 2, Redlands, California |
Authorized Official Name and Position | Albert Henry Arteaga (PRESIDENT/ OWNER) |
Authorized Official Contact | 9098900407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lasalle Medical Associates 1855 W Redlands Blvd Fl 2 Redlands CA 92373-3145 Ph: (909) 890-0407 | Lasalle Medical Associates 1855 W Redlands Blvd Fl 2 Redlands CA 92373-3145 Ph: (909) 890-0407 |
NPI Number | 1891892535 |
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Provider Enumeration Date | 09/17/2006 |
Last Update Date | 06/20/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891892535 | NPI | - | NPPES |
00A382060 | Other | CA | MEDI-CAL ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Dr Shanna R Newbold M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-556-7694 | |
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