Organization
LAS PALMAS MEDICAL GROUP
Active
Other names
Valley Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRMA LOPEZ M.D. (PRESIDENT OWNER)
(760) 480-4747
Entity
Organization
Contact information
Practice address
750 E GRAND AVE STE B-C, ESCONDIDO, CA 92025-4460
(760) 480-4747
(760) 480-0828
Mailing address
750 E GRAND AVE STE B-C, ESCONDIDO, CA 92025-4460
(760) 480-4747
(760) 480-0828
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094630
—
CA
Enumeration date
10/16/2006
Last updated
08/22/2020
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