| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18818 Hwy 18, Apple Valley, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18818 Hwy 18 Apple Valley CA 92307 Ph: (760) 995-8800 | 18818 Hwy 18 Apple Valley CA 92307 Ph: (760) 995-8800 |
| NPI Number | 1346950904 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346950904 | NPI | - | NPPES |
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Victor Valley Neurology, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15995 Tuscola Rd, Suite 203, Apple Valley, CA 92307 Phone: 760-946-4004 Fax: 760-946-4944 |