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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
MR. MOHMEDALI I PATEL MD (PRESIDENT)
(951) 674-6876
Entity
Organization
Contact information
Practice address
16770 LAKESHORE DR, SUITE G, LAKE ELSINORE, CA 92530-4951
(951) 674-6876
(951) 674-6876
Mailing address
16770 LAKESHORE DR, SUITE G, LAKE ELSINORE, CA 92530-4951
(951) 674-6876
(951) 674-6876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A50401
CA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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