| Toluca Lake Medical Center Inc | |
|
10745 Riverside Dr Suite E Toluca Lake CA 91602-2371 | |
| (181) 862-3010 | |
| (181) 862-3893 |
| Full Name | Toluca Lake Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 10745 Riverside Dr, Toluca Lake, California |
| Authorized Official Name and Position | Luis M Flores (CEO) |
| Authorized Official Contact | 18186230104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toluca Lake Medical Center Inc 10745 Riverside Dr Suite E Toluca Lake CA 91602-2371 Ph: (181) 862-3010 | Toluca Lake Medical Center Inc 10745 Riverside Dr Suite E Toluca Lake CA 91602-2371 Ph: (181) 862-3010 |
| NPI Number | 1346482601 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346482601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A19055 (California) | Primary |
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