Organization
DEL PUEBLO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO NAVARRO (CLINIC MANAGER)
(661) 845-1788
Entity
Organization
Contact information
Practice address
10200 MAIN ST, LAMONT, CA 93241-1700
(661) 845-1788
(661) 845-1791
Mailing address
10200 MAIN ST, LAMONT, CA 93241-1700
(661) 845-1788
(661) 845-1791
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0085920
—
CA
Enumeration date
11/20/2006
Last updated
08/22/2020
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