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FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY OF THE HIGH DESERT NPI 1134456627


NPI Information

NPI: 1134456627
Provider Name: FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY OF THE HIGH DESERT
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
19333 BEAR VALLEY RD
SUITE 106
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 946-5177
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FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY OF THE HIGH DESERT is a gynecology obstetrics gynecology in Apple Valley, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY OF THE HIGH DESERT NPI is 1134456627. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19333 BEAR VALLEY RD
SUITE 106
APPLE VALLEY, CA
ZIP 92308-148
Phone: (760) 946-5177
Fax: (760) 946-5133

The provider's authorized official is Moses T Mukai .
The authorized official title is President and has the following contact phone number (760) 946-5177.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 3/30/2010.


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
1208800000XUrology20A5527CALIFORNIANo
2207VG0400XObstetrics & GynecologyGynecology20A5527CALIFORNIAYes

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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