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Luz Tristan Md Inc
Primary Care Clinic/Center in Calexico, California
NPI 1801037577

Luz Tristan Md Inc is a Primary Care Clinic/Center based in Calexico, CA and is specialized in Primary Care. Luz Tristan Md Inc practices in Calexico, CA. The NPI Number for Luz Tristan Md Inc is 1801037577 and holds a License No. A064252 (California).

The current practice location address for Luz Tristan Md Inc is 408 E 3Rd St Ste D, Calexico, CA and can be reached out via phone at 760-768-5246 and via fax at 760-768-2234.

Location: 408 E 3Rd St Ste D, Calexico, CA, 92231-2854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801037577
Provider Name
Luz Tristan Md Inc
Credential
Provider Entity Type
Organization
Address
408 E 3Rd St Ste D, Calexico, CA, 92231-2854
Phone Number
760-768-5246
Fax Number
760-768-2234
Provider Enumeration Date
03/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A642520 01 CA MEDICAL
1760536254 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
408 E 3Rd St Ste D
City
Calexico
State
California
Zip
92231-2854
Phone Number
760-768-5246
Fax Number
760-768-2234
person
Provider Business Mailing Address Details
Address
408 E 3Rd St Ste D
City
Calexico
State
California
Zip
92231-2854
Phone Number
760-768-5246
Fax Number
760-768-2234
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A064252 (California)
Definition
Definition to come...
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