Clinica El Lago Inc

LBN: Clinica El Lago Inc
Clinica El Lago Inc is an health care organization with primary practice located at 101 N Palm St , Woodlake CA 93286-1422. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Clinica El Lago Inc can be contacted via phone (559) 564-1100, or through Ochoa, Mario A via phone (559) 564-1100.

Contact Information

Primary practice address
101 N Palm St Woodlake CA 93286-1422
Phone: (559) 564-1100
Fax: (559) 564-1101
Website:
Map and Directions
Authorized official contact:
Name: Ochoa, Mario A Doctor of Medicine (MD)
Phone: (559) 564-1100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X A76417 California

Profile Details

NPI number 1386077857
LBN Legal business name Clinica El Lago Inc
DBA Doing business as Clinica El Lago Inc
Authorized official Ochoa, Mario A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2013
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386077857 NPPES
California MEDICAID 6805241

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