Organization · Type 2 NPI
Medrecord
General Practice Physician · Grand Terrace, CA
NPI number
1811266521
Active
Practice location
22182 Barton Rd
Grand Terrace, CA 92313-5033
Mailing address
PO Box 11118, C/o Harold Luke Md
San Bernardino, CA 92423-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G24934 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1811266521
Medrecord's National Provider Identifier is 1811266521, issued on Dec 26, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Grand Terrace, CA. The record was last updated on Dec 26, 2011.