IMPACT CARE ACCESS NETWORK INC is a primary care clinic center in Hesperia, CA. IMPACT CARE ACCESS NETWORK INC NPI is 1861858904. The provider is registered as an organization entity type.
The provider's business location address is:
9390 HESPERIA RD SUITE # 7 HESPERIA, CA ZIP 92345-602 Phone: (760) 998-2125 Fax: (760) 948-0723
The provider's authorized official is Philip Dimitrios Kouros . The authorized official title is Medical Doctor and has the following contact phone number (760) 948-4219.
The CLIA number assigned to this NPI record is 05D2111420 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/5/2016 and was last updated on 1/5/2016.
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:
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: 3/30/2025
NPI Synchronization or Removal
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