Organization
CALIFORNI MEDICAL CLINIC INC
Active
Other names
Clinic Medica California
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND MATHEW LUNA DO (MEDICAL DIRECTOR)
(909) 467-1605
Entity
Organization
Contact information
Practice address
16701 VALLEY BLVD, FONTANA, CA 92335-6696
(909) 467-1605
(909) 467-1608
Mailing address
16701 VALLEY BLVD, FONTANA, CA 92335-6696
(909) 467-1605
(909) 467-1608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5095137
—
CA
Enumeration date
10/04/2006
Last updated
09/18/2008
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