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HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION NPI 1164728788


NPI Information

NPI: 1164728788
Provider Name: HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION

Doing Business As: HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2025982

Address:
15888 MAIN ST
SUITE 112B
HESPERIA, CA
ZIP 92345
Phone: (760) 948-2242
Get Directions

HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION is a family medicine in Hesperia, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION NPI is 1164728788. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hesperia Clinica Medica Familiar A Medical Corporation.

The provider's business location address is:

15888 MAIN ST
SUITE 112B
HESPERIA, CA
ZIP 92345-467
Phone: (760) 948-2242
Fax: (760) 948-6244

The provider's authorized official is Octavio Ruiz-villalpando .
The authorized official title is Owner/president and has the following contact phone number (760) 948-2242.

The CLIA number assigned to this NPI record is 05D2025982 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 7/13/2012.


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
1207Q00000XFamily MedicineA92039CALIFORNIAYes

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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