| Adrian Tripp Md Medical Corporation | |
|
15095 Amargosa Rd Ste 280 Victorville CA 92394-1885 | |
| (760) 998-2125 | |
| Not Available |
| Full Name | Adrian Tripp Md Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 15095 Amargosa Rd Ste 280, Victorville, California |
| Authorized Official Name and Position | Adriana Tripp (ADMINISTRATOR) |
| Authorized Official Contact | 7609832250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Tripp Md Medical Corporation 15095 Amargosa Rd Ste 280 Victorville CA 92394-1885 Ph: (760) 998-2125 | Adrian Tripp Md Medical Corporation 15095 Amargosa Rd Ste 280 Victorville CA 92394-1885 Ph: (760) 998-2125 |
| NPI Number | 1205347762 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 03/30/2018 |
| Medicare PECOS PAC ID | 6901151968 |
|---|---|
| Medicare Enrollment ID | O20180614001657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205347762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A139969 (California) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | A139969 (California) | Secondary |
| Provider Name | Adrian Tripp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841619277 PECOS PAC ID: 5890058903 Enrollment ID: I20180423002957 |
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