Organization
LASALLE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT HENRY ARTEAGA MD (CEO/OWNER)
(909) 890-0407
Entity
Organization
Contact information
Practice address
14544 7TH ST, VICTORVILLE, CA 92395-4214
(760) 245-1025
Mailing address
1855 W REDLANDS BLVD FL 2, REDLANDS, CA 92373-3145
(909) 890-0407
(909) 890-0575
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
08/21/2020
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