| Lasalle Medical Associates | |
|
565 N. Mt. Vernon Ave. San Bernardino CA 92411-2661 | |
| (909) 884-9091 | |
| (909) 383-7013 |
| Full Name | Lasalle Medical Associates |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 565 N. Mt. Vernon Ave., San Bernardino, California |
| Authorized Official Name and Position | Albert H. Arteaga (CEO/OWNER) |
| Authorized Official Contact | 9098900407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasalle Medical Associates 1855 W Redlands Blvd 2nd Floor Redlands CA 92373-3145 Ph: (909) 890-0407 | Lasalle Medical Associates 565 N. Mt. Vernon Ave. San Bernardino CA 92411-2661 Ph: (909) 884-9091 |
| NPI Number | 1447388251 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447388251 | NPI | - | NPPES |
| P00014299 | Other | CA | RR MEDICARE PIN |
| 00A382060 | Other | CA | MEDI-CAL ID NUMBER |
| GR0079095 | Medicaid | CA | |
| P00014299 | Other | CA | RAILROAD MEDICARE UPIN |
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