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Lasalle Medical Associates
Multi-Specialty Clinic/Center in Fontana, California
NPI 1275661084

Lasalle Medical Associates is a Multi-Specialty Clinic/Center based in Redlands, CA and is specialized in Multi-Specialty. Lasalle Medical Associates practices in Fontana, CA. The NPI Number for Lasalle Medical Associates is 1275661084 and holds a License No. (California).

The current practice location address for Lasalle Medical Associates is 17577 Arrow Blvd, Fontana, CA and can be reached out via phone at 909-823-4454 and via fax at 909-823-6918.

Location: 17577 Arrow Blvd, Fontana, CA, 92373-3145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275661084
Provider Name
Lasalle Medical Associates
Credential
Provider Entity Type
Organization
Address
17577 Arrow Blvd, Fontana, CA, 92373-3145
Phone Number
909-823-4454
Fax Number
909-823-6918
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0079090 05 CA
00A382060 01 CA MEDI-CAL ID NUMBER
institution
Provider Business Practice Location Address Details
Address
17577 Arrow Blvd
City
Fontana
State
California
Zip
92335
Phone Number
909-823-4454
Fax Number
909-823-6918
person
Provider Business Mailing Address Details
Address
17577 Arrow Blvd
City
Fontana
State
California
Zip
92335
Phone Number
909-823-4454
Fax Number
909-823-6918
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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