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Organization
CALIFORNIA MEDICAL CLINIC INC
Active
Organization
CALIFORNIA MEDICAL CLINIC INC
Active
Other names
Clinica Medica California
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND MATHEW LUNA DO. (MEDICAL DIRECTOR)
(909) 467-1605
Entity
Organization
Contact information
Practice address
23900 IRONWOOD AVE, MORENO VALLEY, CA 92557-7151
(951) 485-2570
(951) 485-2070
Mailing address
23900 IRONWOOD AVE, MORENO VALLEY, CA 92557-7151
(951) 485-2570
(951) 485-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2DA7091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8453037
—
CA
Enumeration date
10/04/2006
Last updated
09/18/2008
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