# LIZARRAGA MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831668292
- **Authorized official:** GINGER JOHNSON (MANAGER)
- **Authorized official phone:** (818) 294-2657

## Contact information

- **Practice address:** 895 W VALLEY BLVD, COLTON, CA 92324-2001
- **Practice address phone:** (909) 824-3389
- **Practice address fax:** (909) 824-1087
- **Mailing address:** 895 W VALLEY BLVD, COLTON, CA 92324-2001
- **Mailing address phone:** (909) 824-3389
- **Mailing address fax:** (909) 824-1087

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2018
- **Last updated:** 11/15/2018