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General NPI Number Information
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NPI Number | 1851952113
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Entity Type | Organization
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Legal Business Name | LOS BANOS PRIMARY CARE, INC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1120 W I ST STE B
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City | LOS BANOS
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State | CA
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Zip | 93635-3970
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Country | US
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Telephone | 209-777-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 579837
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City | MODESTO
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State | CA
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Zip | 95357-5837
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Country | US
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Telephone | 209-500-4500
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Fax | 209-710-8531
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Authorized Official
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Title or Position | CEO
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Name | RAMINDER MAND
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Credential | MD
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Telephone | 209-500-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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