Organization
C. LUNDQUIST MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER R LUNDQUIST MD (OWNER/PRESIDENT)
(213) 381-7377
Entity
Organization
Contact information
Practice address
274 ONE AND HALF RAMPART BLVD, LOS ANGELES, CA 90057
(213) 381-7377
(213) 381-7372
Mailing address
274 ONE AND HALF RAMPART BLVD, LOS ANGELES, CA 90057
(213) 381-7377
(213) 381-7372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G45191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G45191
MEDICAL CERTIFICATE
CA
Enumeration date
02/17/2009
Last updated
02/17/2009
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