| Lifeline Medical Group Inc | |
|
2270 E Palmdale Blvd Ste F Palmdale CA 93550-1334 | |
| (661) 386-8983 | |
| (661) 386-8985 |
| Full Name | Lifeline Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2270 E Palmdale Blvd Ste F, Palmdale, California |
| Authorized Official Name and Position | Vincent Estacio (PARTNER) |
| Authorized Official Contact | 6616733204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Medical Group Inc 2270 E Palmdale Blvd Ste F Palmdale CA 93550-1334 Ph: (661) 386-8983 | Lifeline Medical Group Inc 2270 E Palmdale Blvd Ste F Palmdale CA 93550-1334 Ph: (661) 386-8983 |
| NPI Number | 1265313456 |
|---|---|
| Provider Enumeration Date | 09/12/2025 |
| Last Update Date | 09/12/2025 |
| Certification Date | 09/12/2025 |
| Medicare PECOS PAC ID | 7113407016 |
|---|---|
| Medicare Enrollment ID | O20260218003973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265313456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Romeo Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083691778 PECOS PAC ID: 4789643578 Enrollment ID: I20041007000534 |
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