Organization
LIZARRAGA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER JOHNSON (MANAGER)
(818) 294-2657
Entity
Organization
Contact information
Practice address
895 W VALLEY BLVD, COLTON, CA 92324-2001
(909) 824-3389
(909) 824-1087
Mailing address
895 W VALLEY BLVD, COLTON, CA 92324-2001
(909) 824-3389
(909) 824-1087
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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