# LAS PALMAS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770663551
- **Authorized official:** DR. IRMA LOPEZ M.D. (PRESIDENT OWNER)
- **Authorized official phone:** (760) 480-4747

## Contact information

- **Practice address:** 750 E GRAND AVE STE B-C, ESCONDIDO, CA 92025-4460
- **Practice address phone:** (760) 480-4747
- **Practice address fax:** (760) 480-0828
- **Mailing address:** 750 E GRAND AVE STE B-C, ESCONDIDO, CA 92025-4460
- **Mailing address phone:** (760) 480-4747
- **Mailing address fax:** (760) 480-0828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0094630 | — | CA |