institution
Lasalle Medical Associates
Multi-Specialty Clinic/Center in San Bernardino, California
NPI 1447388251

Lasalle Medical Associates is a Multi-Specialty Clinic/Center based in Redlands, CA and is specialized in Multi-Specialty. Lasalle Medical Associates practices in San Bernardino, CA. The NPI Number for Lasalle Medical Associates is 1447388251 and holds a License No. (California).

The current practice location address for Lasalle Medical Associates is 565 N. Mt. Vernon Ave., San Bernardino, CA and can be reached out via phone at 909-884-9091 and via fax at 909-383-7013.

Location: 565 N. Mt. Vernon Ave., San Bernardino, CA, 92373-3145
institution
Provider Profile Details
NPI Number
1447388251
Provider Name
Lasalle Medical Associates
Credential
Provider Entity Type
Organization
Address
565 N. Mt. Vernon Ave., San Bernardino, CA, 92373-3145
Phone Number
909-884-9091
Fax Number
909-383-7013
Provider Enumeration Date
03/01/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00014299 01 CA RR MEDICARE PIN
00A382060 01 CA MEDI-CAL ID NUMBER
GR0079095 05 CA
P00014299 01 CA RAILROAD MEDICARE UPIN
institution
Provider Business Practice Location Address Details
Address
565 N. Mt. Vernon Ave.
City
State
Zip
92411-2661
Phone Number
909-884-9091
Fax Number
909-383-7013
person
Provider Business Mailing Address Details
Address
565 N. Mt. Vernon Ave.
City
State
Zip
92411-2661
Phone Number
909-884-9091
Fax Number
909-383-7013
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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