| Victor Valley Neurology, Inc | |
|
15995 Tuscola Rd Suite 203 Apple Valley CA 92307-2159 | |
| (760) 946-4004 | |
| (760) 946-4944 |
| Full Name | Victor Valley Neurology, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15995 Tuscola Rd, Apple Valley, California |
| Authorized Official Name and Position | Noel Cuevas Bernales (PRESIDENT) |
| Authorized Official Contact | 7609464004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Valley Neurology, Inc 15995 Tuscola Rd Suite 203 Apple Valley CA 92307-2159 Ph: (760) 946-4004 | Victor Valley Neurology, Inc 15995 Tuscola Rd Suite 203 Apple Valley CA 92307-2159 Ph: (760) 946-4004 |
| NPI Number | 1083759195 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3678552759 |
|---|---|
| Medicare Enrollment ID | O20040714000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083759195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A69492 (California) | Primary |
| Provider Name | Noel C Bernales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912049974 PECOS PAC ID: 6800875881 Enrollment ID: I20040715000970 |
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