Clinica Del Pueblo Medical Group Corp
NPI #1104127109 in Lamont, California
Provider Information
- NPI Number
- 1104127109
- Entity Type
- Organization
- Organization Name
- Clinica Del Pueblo Medical Group Corp
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 6, 2010
- Last Updated
- Nov 6, 2010
Practice Location
- Address
- 10200 MAIN ST STE B
- City
- Lamont
- State
- California
- ZIP Code
- 93241-1700
- Phone
- (661) 845-1788
Authorized Official
- Name
- DR. SAM N RATNAYAKE, MD
- Title
- DIRECTOR
- Phone
- (661) 377-3777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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