institution
Lasalle Medical Associates
Multi-Specialty Clinic/Center in Hesperia, California
NPI 1316075062

Lasalle Medical Associates is a Multi-Specialty Clinic/Center based in Redlands, CA and is specialized in Multi-Specialty. Lasalle Medical Associates practices in Hesperia, CA. The NPI Number for Lasalle Medical Associates is 1316075062 and holds a License No. (California).

The current practice location address for Lasalle Medical Associates is 16455 Main Street, Hesperia, CA and can be reached out via phone at 760-947-2161 and via fax at 760-947-3673.

Location: 16455 Main Street, Hesperia, CA, 92373-3145
institution
Provider Profile Details
NPI Number
1316075062
Provider Name
Lasalle Medical Associates
Credential
Provider Entity Type
Organization
Address
16455 Main Street, Hesperia, CA, 92373-3145
Phone Number
760-947-2161
Fax Number
760-947-3673
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0079092 05 CA
00A382060 01 CA MEDI-CAL ID NUMBER
P00226162 01 CA RAILROAD MEDICARE UPIN
institution
Provider Business Practice Location Address Details
Address
16455 Main Street
City
State
Zip
92345
Phone Number
760-947-2161
Fax Number
760-947-3673
person
Provider Business Mailing Address Details
Address
16455 Main Street
City
State
Zip
92345
Phone Number
760-947-2161
Fax Number
760-947-3673
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
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Definition
Definition to come...
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