Organization
CLINICA DEL PUEBLO LAMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEOPOLDO PUGA MD (MEDICAL DIRECTOR/PRESIDENT)
(661) 845-1788
Entity
Organization
Contact information
Practice address
10200 MAIN ST STE A, LAMONT, CA 93241-1700
(661) 845-1788
(661) 845-1791
Mailing address
10200 MAIN ST STE A, LAMONT, CA 93241-1700
(661) 845-1788
(661) 845-1791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA12281
CA
207R00000X
Internal Medicine Physician
Primary
A85474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I30581
UPIN
CA
Enumeration date
06/22/2017
Last updated
07/21/2022
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