| Lizarraga Medical Clinic Inc. | |
|
895 W Valley Blvd Colton CA 92324-2001 | |
| (909) 824-3389 | |
| Not Available |
| Full Name | Lizarraga Medical Clinic Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 895 W Valley Blvd, Colton, California |
| Authorized Official Name and Position | Juan Fernando Lizarraga (MD/OWNER) |
| Authorized Official Contact | 5624056299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lizarraga Medical Clinic Inc. 2090 S Euclid St Ste 104 Anaheim CA 92802-3141 Ph: (714) 539-2200 | Lizarraga Medical Clinic Inc. 895 W Valley Blvd Colton CA 92324-2001 Ph: (909) 824-3389 |
| NPI Number | 1124519855 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124519855 | NPI | - | NPPES |
| 1417126764 | Other | CA | A49181 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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