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VALENCIA FAMILY CARE MEDICAL GROUP NPI 1053820340


NPI Information

NPI: 1053820340
Provider Name: VALENCIA FAMILY CARE MEDICAL GROUP

Doing Business As: HIGH DESERT PEDIATRIC URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
12677 HESPERIA RD STE 150
VICTORVILLE, CA
ZIP 92395
Phone: (760) 952-3892
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VALENCIA FAMILY CARE MEDICAL GROUP is an urgent care clinic center in Victorville, CA. VALENCIA FAMILY CARE MEDICAL GROUP NPI is 1053820340. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As High Desert Pediatric Urgent Care.

The provider's business location address is:

12677 HESPERIA RD STE 150
VICTORVILLE, CA
ZIP 92395-735
Phone: (760) 952-3892
Fax: (855) 490-7027

The provider's authorized official is Pablo Valencia .
The authorized official title is Office Administrator and has the following contact phone number (760) 952-3892.

The enumeration date for this NPI number is 9/29/2017 and was last updated on 9/29/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A537870MEDICAIDCALIFORNIA

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: 4/28/2024

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