05D0573164 CLIA NUMBER - BEAR MOUNTAIN FAMILY PRACTICE PROF CORP

Laboratory Demographics

CLIA Number: 05D0573164

Facility Name: BEAR MOUNTAIN FAMILY PRACTICE PROF CORP

Facility Address:
41933 BIG BEAR BLVD
BIG BEAR LAKE, CA
ZIP 92315
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Facility Phone Number: (909) 866-5868

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1720107592

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0573164
LAB Type	PHYSICIAN OFFICE
Facility Name	BEAR MOUNTAIN FAMILY PRACTICE PROF CORP
Street	41933 BIG BEAR BLVD
City	BIG BEAR LAKE
State	CA
ZIP	92315
Phone	(909) 866-5868

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This page was last updated on: 5/11/2023