Organization
LASALLE MEDICAL ASSOCIATES
Active
Organization
LASALLE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT HENRY ARTEAGA MD (PRESIDENT/ OWNER)
(909) 890-0407
Entity
Organization
Contact information
Practice address
1855 W REDLANDS BLVD FL 2, REDLANDS, CA 92373-3145
(909) 890-0407
(909) 890-0575
Mailing address
1855 W REDLANDS BLVD FL 2, REDLANDS, CA 92373-3145
(909) 890-0407
(909) 890-0575
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A382060
MEDI-CAL ID NUMBER
CA
Enumeration date
09/17/2006
Last updated
06/20/2019
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