| Avalon Urgent Care | |
|
58471 29 Palms Hwy 303 Yucca Valley CA 92284-5818 | |
| (760) 365-0851 | |
| (760) 365-6848 |
| Full Name | Avalon Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 58471 29 Palms Hwy, Yucca Valley, California |
| Authorized Official Name and Position | Robert S Evans (OWNER) |
| Authorized Official Contact | 7603650851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Urgent Care 58471 29 Palms Hwy 303 Yucca Valley CA 92284-5818 Ph: (760) 365-0851 | Avalon Urgent Care 58471 29 Palms Hwy 303 Yucca Valley CA 92284-5818 Ph: (760) 365-0851 |
| NPI Number | 1518381367 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 2365665221 |
|---|---|
| Medicare Enrollment ID | O20140521001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518381367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Robert S Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184603441 PECOS PAC ID: 9032274865 Enrollment ID: I20090211000488 |
| Provider Name | Katrina N Landa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366721680 PECOS PAC ID: 3577702588 Enrollment ID: I20130625000105 |
| Provider Name | Wen Chieh Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215371166 PECOS PAC ID: 4183864291 Enrollment ID: I20130715000390 |
| Provider Name | Margaret C Green |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477992881 PECOS PAC ID: 9739405226 Enrollment ID: I20150227000196 |
| Provider Name | Shannon L Binckley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881087047 PECOS PAC ID: 3274818653 Enrollment ID: I20170327002310 |
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