LASALLE MEDICAL ASSOCIATES NPI 1689130098

NPI Information

NPI: 1689130098
Provider Name: LASALLE MEDICAL ASSOCIATES
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2030073

Address:
14544 7TH ST
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-1025
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LASALLE MEDICAL ASSOCIATES is a multi-specialty clinic center in Victorville, CA. LASALLE MEDICAL ASSOCIATES NPI is 1689130098. The provider is registered as an organization entity type.

The provider's business location address is:

14544 7TH ST
VICTORVILLE, CA
ZIP 92395-214
Phone: (760) 245-1025

The provider's authorized official is Albert Henry Arteaga .
The authorized official title is Ceo/owner and has the following contact phone number (909) 890-0407.

The CLIA number assigned to this NPI record is 05D2030073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2019 and was last updated on 8/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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