Organization
PACIFIC RIDGE MEDICAL ASSOCIATES, INC.
Active
Parent organization
PACIFIC RIDGE MEDICAL ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC RIDGE MEDICAL ASSOCIATES, INC.
Authorized official
DR. ALAN Y LO MD (VICE PRESIDENT)
(949) 422-2589
Entity
Organization
Contact information
Practice address
25401 CABOT RD STE 101, LAGUNA HILLS, CA 92653-5513
(949) 768-4850
(949) 215-9630
Mailing address
25401 CABOT RD STE 101, LAGUNA HILLS, CA 92653-5513
(949) 768-4850
(949) 215-9630
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2425685
CA
Other
Enumeration date
12/14/2006
Last updated
12/22/2011
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