Most Relevant Information
Provider Data
| NPI Number: | 1003498304 |
| Provider Name: | LUIS MIGUEL OLMEDO TEMICH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2021 |
| Last Updated: | 04/26/2021 |
Provider Practice Location
11234 ANDERSON ST
LOMA LINDA
CA
923542804
Practice Location Phone/Fax
| Phone: | 9095582822 |
| Fax: |
Provider Mailing Location
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA
CA
923542804
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |