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NACO MEDICAL GROUP NPI 1780749051


NPI Information

NPI: 1780749051
Provider Name: NACO MEDICAL GROUP
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
15203 11TH ST
SUITE E
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-3719
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NACO MEDICAL GROUP is a primary care clinic center in Victorville, CA. NACO MEDICAL GROUP NPI is 1780749051. The provider is registered as an organization entity type.

The provider's business location address is:

15203 11TH ST
SUITE E
VICTORVILLE, CA
ZIP 92395-737
Phone: (760) 245-3719
Fax: (760) 951-1626

The provider's authorized official is Virgilio V. Naco .
The authorized official title is Ceo and has the following contact phone number (760) 619-3719.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.


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
1261QP2300XClinic/CenterPrimary CareA30874CALIFORNIAYes

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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