Organization
CLINICA DEL PUEBLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARLA E QUISIDO MD (OWNER)
(661) 845-2399
Entity
Organization
Contact information
Practice address
10200 MAIN ST, LAMONT, CA 93241-1700
(661) 845-2399
(661) 845-1791
Mailing address
10200 MAIN ST, LAMONT, CA 93241-1700
(661) 845-2399
(661) 845-1791
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A48100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A481000
—
CA
Enumeration date
12/10/2007
Last updated
01/29/2008
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