NPI 1023398468

Lasalle Medical Associates

Organisation Preferred Provider Organization San Bernardino, CA

Practice location

Address: 685 Carnegie Dr Suite 230, San Bernardino, CA 92408-3502
Phone: (909) 890-0407
Fax: (909) 890-0575

Authorised official

Name: Albert Arteaga
Title: President / Owner
Phone: (909) 890-0407

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 202469 (CA)

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Registry record

NPI: 1023398468
Entity type: Organization
NPI issued: 17 Aug 2011
Record last updated: 17 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.