| San Bernardino County | |
|
12625 Hesperia Rd Victorville CA 92395-7720 | |
| (760) 245-6698 | |
| Not Available |
| Full Name | San Bernardino County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12625 Hesperia Rd, Victorville, California |
| Authorized Official Name and Position | Frances Marie Quiroz (PEER & FAMILY) |
| Authorized Official Contact | 7602456694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bernardino County 12625 Hesperia Rd Victorville CA 92395-7720 Ph: (760) 245-6698 | San Bernardino County 12625 Hesperia Rd Victorville CA 92395-7720 Ph: (760) 245-6698 |
| NPI Number | 1740468909 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740468909 | NPI | - | NPPES |
| 1086FRANCES | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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