| Antelope Valley Community Clinic | |
|
45124 10th St W Lancaster CA 93534-2310 | |
| (661) 942-2391 | |
| Not Available |
| Full Name | Antelope Valley Community Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 45124 10th St W, Lancaster, California |
| Authorized Official Name and Position | James Cook (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6619422391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Community Clinic 45104 10th St W Lancaster CA 93534-2310 Ph: (661) 942-2391 | Antelope Valley Community Clinic 45124 10th St W Lancaster CA 93534-2310 Ph: (661) 942-2391 |
| NPI Number | 1730630427 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730630427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 10016685 (California) | Primary |
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