| Luz Tristan Md Inc | |
|
408 E 3rd St Ste D Calexico CA 92231-2854 | |
| (760) 768-5246 | |
| (760) 768-2234 |
| Full Name | Luz Tristan Md Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 408 E 3rd St Ste D, Calexico, California |
| Authorized Official Name and Position | Luz E Tristan (PEDIATRICIAN) |
| Authorized Official Contact | 7607685246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luz Tristan Md Inc 408 E 3rd St Ste D Calexico CA 92231-2854 Ph: (760) 768-5246 | Luz Tristan Md Inc 408 E 3rd St Ste D Calexico CA 92231-2854 Ph: (760) 768-5246 |
| NPI Number | 1801037577 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 03/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801037577 | NPI | - | NPPES |
| 00A642520 | Other | CA | MEDICAL |
| 1760536254 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A064252 (California) | Primary |
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