Organization
LUZ TRISTAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUZ E TRISTAN MD (PEDIATRICIAN)
(760) 768-5246
Entity
Organization
Contact information
Practice address
408 E 3RD ST STE D, CALEXICO, CA 92231-2854
(760) 768-5246
(760) 768-2234
Mailing address
408 E 3RD ST STE D, CALEXICO, CA 92231-2854
(760) 768-5246
(760) 768-2234
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A064252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A642520
MEDICAL
CA
01
—
1760536254
NPI
CA
Enumeration date
03/10/2009
Last updated
03/10/2009
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