Organization
CARE LOBBY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAVA MARSH MD (CEO/OWNER)
(760) 905-6097
Entity
Organization
Contact information
Practice address
9329 MARIPOSA RD, HESPERIA, CA 92344-8000
(760) 905-6097
Mailing address
9329 MARIPOSA RD, HESPERIA, CA 92344-8000
(760) 905-6097
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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