| Antelope Valley Family Health Medical Group, Inc | |
|
1672 W Avenue J Suite 105 Lancaster CA 93534-2827 | |
| (661) 945-0821 | |
| (661) 948-6255 |
| Full Name | Antelope Valley Family Health Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1672 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Gary William Grubb (CORPORATION PRESIDENT) |
| Authorized Official Contact | 6619450821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Family Health Medical Group, Inc 1672 W Avenue J Suite 105 Lancaster CA 93534-2827 Ph: (661) 945-0821 | Antelope Valley Family Health Medical Group, Inc 1672 W Avenue J Suite 105 Lancaster CA 93534-2827 Ph: (661) 945-0821 |
| NPI Number | 1346219268 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 04/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346219268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G43124 (California) | Primary |
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