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Organization

SATISH K. LAL MD A PROFESSINAL CORPORATION

Active
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Organization

SATISH K. LAL MD A PROFESSINAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SATISH KUMAR LAL (PRESIDENT)
(909) 949-6534
Entity
Organization

Contact information

Practice address
10841 WHITE OAK AVE, SUITE 100, RANCHO CUCAMONGA, CA 91730-3811
(909) 989-4002
(909) 989-4004
Mailing address
10841 WHITE OAK AVE, SUITE 100, RANCHO CUCAMONGA, CA 91730-3811
(909) 989-4002
(909) 989-4004

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34462

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008257250
MEDICARE
01
330024674
CORPORATE
01
JR0101740
MEDICAL
Enumeration date
12/06/2007
Last updated
01/27/2016
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