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Organization
TOLUCA LAKE MEDICAL CENTER INC
Active
Organization
TOLUCA LAKE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS M FLORES M.D. (CEO)
18186230104
Entity
Organization
Contact information
Practice address
10745 RIVERSIDE DR, SUITE E, TOLUCA LAKE, CA 91602-2371
(181) 862-3010
(181) 862-3893
Mailing address
10745 RIVERSIDE DR, SUITE E, TOLUCA LAKE, CA 91602-2371
(181) 862-3010
(181) 862-3893
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A19055
CA
Other
Enumeration date
04/01/2009
Last updated
04/03/2009
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