Lake Elsinore Clinica Medica Familiar a Medical Corporation
Lake Elsinore Clinica Medica Familiar a Medical Corporation provides Family Medicine Physician services in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
31739 Riverside Dr Ste A-1Lake Elsinore, CA 92530-7818 Not confirmed with CMS for 17 years — call before visiting
Phone: (951) 245-0505
Fax: (951) 245-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A92039 (CA) |
|---|
Record details
| NPI number | 1851625396 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Octavio Ruiz-Villalpando — President · (951) 245-0505 |
| Other names | Lake Elsinore Clinica Medica Familiar |
| NPI enumerated | October 1, 2009 |
| Last updated in NPPES | October 1, 2009 |
| Mailing address | 31739 Riverside Dr, Suite A-1, Lake Elsinore, CA 92530-7818 |
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