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YUCCA VALLEY URGENT CARE INC. NPI 1518381367


NPI Information

NPI: 1518381367
Provider Name: YUCCA VALLEY URGENT CARE, INC.

Doing Business As: AVALON URGENT CARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0572898

Address:
58471 29 PALMS HWY
303
YUCCA VALLEY, CA
ZIP 92284
Phone: (760) 365-0851
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YUCCA VALLEY URGENT CARE, INC. is a general practice in Yucca Valley, CA. YUCCA VALLEY URGENT CARE, INC. NPI is 1518381367. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avalon Urgent Care.

The provider's business location address is:

58471 29 PALMS HWY
303
YUCCA VALLEY, CA
ZIP 92284-818
Phone: (760) 365-0851
Fax: (760) 365-6848

The provider's authorized official is Robert S Evans .
The authorized official title is Owner and has the following contact phone number (760) 365-0851.

The CLIA number assigned to this NPI record is 05D0572898 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2014 and was last updated on 2/14/2014.


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
1208D00000XGeneral PracticeYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.