Organization
LIZARRAGA MEDICAL CLINIC INC.
Active
Other names
Lizarraga Medical Clinic Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN FERNANDO LIZARRAGA M.D. (MD/OWNER)
(562) 405-6299
Entity
Organization
Contact information
Practice address
895 W VALLEY BLVD, COLTON, CA 92324-2001
(909) 824-3389
Mailing address
2090 S EUCLID ST STE 104, ANAHEIM, CA 92802-3141
(714) 539-2200
(714) 539-2277
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417126764
A49181
CA
Enumeration date
05/30/2018
Last updated
07/15/2021
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