MEDICARE: JOHN A LAMBROS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	A68320	CA

General Provider Information

NPI Number	:	1306880190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A LAMBROS M.D.

Provider Business Mailing Address
First Line	:	2304 N 1ST AVE
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91784-1301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 WHITE FEATHER RD
Second Line	:	HI-DESERT MEDICAL CENTER
City	:	JOSHUA TREE
State	:	CA
Zip	:	92252-6607
Country	:	US
Telephone Number	:	760-363-3711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	10/18/2011

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