| Lifeline Health Integrated | |
|
788 Bridle Ct San Dimas CA 91773-1714 | |
| (626) 297-9245 | |
| Not Available |
| Full Name | Lifeline Health Integrated |
|---|---|
| Speciality | General Practice |
| Location | 788 Bridle Ct, San Dimas, California |
| Authorized Official Name and Position | Victor Pekson (CEO) |
| Authorized Official Contact | 6262973245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Health Integrated 788 Bridle Ct San Dimas CA 91773-1714 Ph: () - | Lifeline Health Integrated 788 Bridle Ct San Dimas CA 91773-1714 Ph: (626) 297-9245 |
| NPI Number | 1285332122 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285332122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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