| Antelope Valley Endocrinology | |
|
43723 20th St W Suite 204 Lancaster CA 93534-4784 | |
| (661) 949-8882 | |
| (661) 949-8686 |
| Full Name | Antelope Valley Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 43723 20th St W, Lancaster, California |
| Authorized Official Name and Position | Praveena Patel (OFFICE MANAGER) |
| Authorized Official Contact | 6619498882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Endocrinology 43723 20th St W Suite 204 Lancaster CA 93534-4784 Ph: (661) 949-8882 | Antelope Valley Endocrinology 43723 20th St W Suite 204 Lancaster CA 93534-4784 Ph: (661) 949-8882 |
| NPI Number | 1801940812 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 03/14/2014 |
| Medicare PECOS PAC ID | 8820227895 |
|---|---|
| Medicare Enrollment ID | O20140217000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801940812 | NPI | - | NPPES |
| 00A661560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A66156 (California) | Primary |
| Provider Name | Ashiq V Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376542811 PECOS PAC ID: 8921911769 Enrollment ID: I20031107000652 |
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