Organization
LOS ALAMOS MEDICAL CARE CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE MEDINA (OFFICE MANAGER)
(505) 662-4351
Entity
Organization
Contact information
Practice address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544
(505) 662-4351
(505) 662-2932
Mailing address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544
(505) 662-4351
(505) 662-2932
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
02/20/2020
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