| Bear Valley Clinica Familiar, Inc | |
|
15532 Bear Valley Rd Victorville CA 92395-9260 | |
| (760) 245-5959 | |
| Not Available |
| Full Name | Bear Valley Clinica Familiar, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15532 Bear Valley Rd, Victorville, California |
| Authorized Official Name and Position | Francisco A Jimenez (PRESIDENT) |
| Authorized Official Contact | 7602455959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Valley Clinica Familiar, Inc 15532 Bear Valley Rd Victorville CA 92395-9260 Ph: (760) 245-5959 | Bear Valley Clinica Familiar, Inc 15532 Bear Valley Rd Victorville CA 92395-9260 Ph: (760) 245-5959 |
| NPI Number | 1710135900 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710135900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A40305 (California) | Primary |
| 213E00000X | Podiatrist | 3702 (California) | Secondary |
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