Lake Los Angeles Community Clinic | |
16921 E Avenue O Ste G Palmdale CA 93591-3045 | |
(661) 945-8444 | |
Not Available |
Full Name | Lake Los Angeles Community Clinic |
---|---|
Speciality | Clinic/center |
Location | 16921 E Avenue O Ste G, Palmdale, California |
Authorized Official Name and Position | Beryl Brooks (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 6614714200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake Los Angeles Community Clinic 16921 E Avenue O Ste G Palmdale CA 93591-3045 Ph: (661) 945-8444 | Lake Los Angeles Community Clinic 16921 E Avenue O Ste G Palmdale CA 93591-3045 Ph: (661) 945-8444 |
NPI Number | 1164551230 |
---|---|
Provider Enumeration Date | 03/05/2007 |
Last Update Date | 10/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164551230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
News Archive
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