Organization
CALIFORNIA MEDICAL CLINIC INC
Active
Other names
Clinica 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
23900 IRONWOOD AVE, MORENO VALLEY, CA 92557-7151
(951) 485-2570
(951) 485-2070
Mailing address
23900 IRONWOOD AVE, MORENO VALLEY, CA 92557-7151
(951) 485-2570
(951) 485-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2DA7091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8453037
—
CA
Enumeration date
10/04/2006
Last updated
09/18/2008
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