BEAR VALLEY PRIMARY CARE INC NPI 1871943035

NPI Information

NPI: 1871943035
Provider Name: BEAR VALLEY PRIMARY CARE INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2109012

Address:
12186 HESPERIA RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 381-8848
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BEAR VALLEY PRIMARY CARE INC is a primary care clinic center in Victorville, CA. BEAR VALLEY PRIMARY CARE INC NPI is 1871943035. The provider is registered as an organization entity type.

The provider's business location address is:

12186 HESPERIA RD
VICTORVILLE, CA
ZIP 92395-822
Phone: (760) 381-8848
Fax: (760) 381-8810

The provider's authorized official is Jose Alvarez De La Llana .
The authorized official title is President and has the following contact phone number (561) 927-5240.

The CLIA number assigned to this NPI record is 05D2109012 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 6/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A101657	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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