| Antelope Valley Community Clinic-mobile Health Clinic Ii | |
|
45104 10th St W Lancaster CA 93534-2310 | |
| (661) 942-2391 | |
| (661) 902-6839 |
| Full Name | Antelope Valley Community Clinic-mobile Health Clinic Ii |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 45104 10th St W, Lancaster, California |
| Authorized Official Name and Position | James A. Cook (CEO) |
| Authorized Official Contact | 6619422391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Community Clinic-mobile Health Clinic Ii 45074 10th Street West Suite 109 Lancaster CA 93534-2382 Ph: (661) 942-2391 | Antelope Valley Community Clinic-mobile Health Clinic Ii 45104 10th St W Lancaster CA 93534-2310 Ph: (661) 942-2391 |
| NPI Number | 1619290624 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 09/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619290624 | NPI | - | NPPES |
| CT556A | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001131 (California) | Primary |
High Desert Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-948-8581 | |
K.sivakumar,m.d.,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 15th St W, Suite # 307, Lancaster, CA 93534 Phone: 661-949-5908 Fax: 661-949-5594 | |
High Desert Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-471-4280 | |
High Desert Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-948-8581 | |
Complete Family Care Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-945-7181 Fax: 661-942-6008 | |
Kumarasamy Sivakumar M.d. ,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 N. 15th St. West, Lancaster, CA 93534 Phone: 661-949-5908 | |
Iris Partovi Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44811 Date Ave Ste D, Lancaster, CA 93534 Phone: 877-486-1368 |