ASPEN PEDIATRIC CLINIC,INC. is a clinic center in Victorville, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ASPEN PEDIATRIC CLINIC,INC. NPI is 1538304134. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Aspen Pediatric Clinic,inc..
The provider's business location address is:
15203 11TH ST
SUITE C
VICTORVILLE, CA
ZIP 92395-737
Phone: (760) 951-9985
Fax: (760) 952-3387
The provider's authorized official is Marcelino S Calimlim .
The authorized official title is President and has the following contact phone number (760) 951-9985.
The CLIA number assigned to this NPI record is 05D1034135 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/10/2008 and was last updated on 3/27/2012.