institution
Lasalle Medical Associates
Multi-Specialty Clinic/Center in San Bernardino, California
NPI 1548398142

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 1548398142 and holds a License No. (California).

The current practice location address for Lasalle Medical Associates is 1505 W. 17Th Street, San Bernardino, CA and can be reached out via phone at 909-887-6494 and via fax at 909-887-6043. You can also correspond with Lasalle Medical Associates through the mailing address at 1855 W REDLANDS BLVD, REDLANDS, CA - 92373-3145 (mailing address contact number: 909-890-0407).

Location: 1505 W. 17Th Street, San Bernardino, CA, 92373-3145
institution
Provider Profile Details
NPI Number
1548398142
Provider Name
Lasalle Medical Associates
Credential
Provider Entity Type
Organization
Address
1505 W. 17Th Street, San Bernardino, CA, 92373-3145
Phone Number
909-887-6494
Fax Number
909-887-6043
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0079091 05 CA
00A382060 01 CA MEDI-CAL ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1505 W. 17Th Street
City
State
Zip
92411
Phone Number
909-887-6494
Fax Number
909-887-6043
person
Provider Business Mailing Address Details
Address
1855 W Redlands Blvd
City
State
Zip
92373-3145
Phone Number
909-890-0407
Fax Number
909-890-0575
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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