| La Vista Medical Center | |
|
1111 Grand Ave Ste L Diamond Bar CA 91765-4172 | |
| (909) 551-0205 | |
| (909) 345-7084 |
| Full Name | La Vista Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Grand Ave Ste L, Diamond Bar, California |
| Authorized Official Name and Position | Alaa Hajal (OWNER) |
| Authorized Official Contact | 5863825390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Vista Medical Center 11660 Church St Apt 166 Rancho Cucamonga CA 91730-8927 Ph: (586) 382-5390 | La Vista Medical Center 1111 Grand Ave Ste L Diamond Bar CA 91765-4172 Ph: (909) 551-0205 |
| NPI Number | 1023831682 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Medicare PECOS PAC ID | 0840793808 |
|---|---|
| Medicare Enrollment ID | O20250915001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023831682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Huda S Khaleel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386907509 PECOS PAC ID: 4587944806 Enrollment ID: I20161202001086 |
| Provider Name | Alaa Hajal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669829032 PECOS PAC ID: 2769775352 Enrollment ID: I20200528000739 |
Angeles Del Sol Calaim LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 626-322-2777 |
Careone Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2705 S Diamond Bar Blvd Ste 128, Diamond Bar, CA 91765 Phone: 626-951-1988 Fax: 626-236-9394 |
Steve Li Chan MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1106 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-612-5835 Fax: 909-612-5836 |
Yu Care Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 877-860-1717 |
Yeyongshin DO Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Grand Ave Ste J, Diamond Bar, CA 91765 Phone: 909-306-4102 |
Ole A. Heggeness, D.O., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21015 Pathfinder Rd, 100, Diamond Bar, CA 91765 Phone: 909-861-3511 |