Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinica Del Pueblo Medical Group Corp

Organization Family Medicine Physician · NPI 1104127109

Clinica Del Pueblo Medical Group Corp is a Family Medicine Physician in Lamont, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10200 Main St Ste B
Lamont, CA 93241-1700
Phone: (661) 845-1788
Fax: (661) 845-1791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A056363 (CA)

Record details

NPI number1104127109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Ratnayake — Director · (661) 377-3777
NPI enumeratedNovember 6, 2010
Last updated in NPPESNovember 6, 2010
Mailing address10200 Main St Ste B, Lamont, CA 93241-1700

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