| Lizarraga Medical Center Inc | |
|
895 W Valley Blvd Colton CA 92324-2001 | |
| (909) 824-3389 | |
| (909) 824-1087 |
| Full Name | Lizarraga Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 895 W Valley Blvd, Colton, California |
| Authorized Official Name and Position | Ginger Johnson (MANAGER) |
| Authorized Official Contact | 8182942657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lizarraga Medical Center Inc 895 W Valley Blvd Colton CA 92324-2001 Ph: (909) 824-3389 | Lizarraga Medical Center Inc 895 W Valley Blvd Colton CA 92324-2001 Ph: (909) 824-3389 |
| NPI Number | 1831668292 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 8628314366 |
|---|---|
| Medicare Enrollment ID | O20190116003115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831668292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Juan F Lizarraga |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417126764 PECOS PAC ID: 8325093966 Enrollment ID: I20100729000044 |
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