| Cal Choice Family Practice Inc | |
|
16245 Desert Knoll Dr Victorville CA 92395-4011 | |
| (760) 955-9555 | |
| (760) 955-8558 |
| Full Name | Cal Choice Family Practice Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16245 Desert Knoll Dr, Victorville, California |
| Authorized Official Name and Position | Yvonne Mckinney (ADMINISTRATOR) |
| Authorized Official Contact | 7609555555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cal Choice Family Practice Inc Po Box 1596 Victorville CA 92393-1596 Ph: (760) 955-9555 | Cal Choice Family Practice Inc 16245 Desert Knoll Dr Victorville CA 92395-4011 Ph: (760) 955-9555 |
| NPI Number | 1164448593 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 05/14/2024 |
| Medicare PECOS PAC ID | 3375558539 |
|---|---|
| Medicare Enrollment ID | O20060209000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164448593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A87666 (California) | Primary |
| Provider Name | Yvonne Rollien Telgt-mckinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689607053 PECOS PAC ID: 8123087178 Enrollment ID: I20041006000647 |
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