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Organization
LAKESHORE MEDICAL CLINIC INC
Active
Organization
LAKESHORE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHMEDALI PATEL MD (OWNER)
(951) 674-6876
Entity
Organization
Contact information
Practice address
16770 LAKESHORE DR STE G, LAKE ELSINORE, CA 92530-4953
(951) 674-6876
(951) 674-6876
Mailing address
16770 LAKESHORE DR STE G, LAKE ELSINORE, CA 92530-4953
(951) 674-6876
(951) 674-6876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A50401
CA
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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