| Organization Name: | TOLUCA LAKE MEDICAL CENTER INC |
| NPI Number: | 1346482601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS M FLORES (CEO) |
| Mailing Address: | 10745 Riverside Dr Suite E Toluca Lake |
| State: | CA US |
| Postal Code: | 916022371 |
| Phone Number: | 1818623010 |
| Fax Number: | 1818623893 |
| NPI Enumeration Date: | 04/01/2009 |
| NPI Last Update Date: | 04/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A19055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |