| Lh Self Medical Services Pc | |
|
1415 Ross Ave El Centro CA 92243 | |
| (702) 530-7769 | |
| Not Available |
| Full Name | Lh Self Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1415 Ross Ave, El Centro, California |
| Authorized Official Name and Position | Lewis H Self (OWNER) |
| Authorized Official Contact | 7025307769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lh Self Medical Services Pc 315 S Coast Highway 101 # U14 Encinitas CA 92024-3543 Ph: (702) 530-7769 | Lh Self Medical Services Pc 1415 Ross Ave El Centro CA 92243 Ph: (702) 530-7769 |
| NPI Number | 1982762977 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982762977 | NPI | - | NPPES |
| 002019796 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7570 (Nevada) | Primary |
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