|
| |
|
57463 29 Palms Hwy Suite 202 Yucca Valley CA 92284-2925 | |
| (760) 365-0808 | |
| (760) 365-4545 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 57463 29 Palms Hwy, Yucca Valley, California |
| Authorized Official Name and Position | Gina R Mcelfish (OWNER) |
| Authorized Official Contact | 7603650808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
57463 29 Palms Hwy Suite 202 Yucca Valley CA 92284-2925 Ph: (760) 365-0808 | 57463 29 Palms Hwy Suite 202 Yucca Valley CA 92284-2925 Ph: (760) 365-0808 |
| NPI Number | 1417089764 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417089764 | NPI | - | NPPES |
| RHM53937F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Omni Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7281 Dumosa Ave Ste 2, Yucca Valley, CA 92284 Phone: 760-365-2722 Fax: 760-365-5099 | |
Nowysz Regenerative Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55887 Yucca Trl, Yucca Valley, CA 92284 Phone: 760-365-0804 | |
Family Health Center Of Joshua Tree Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57445 29 Palms Hwy Ste 302, Yucca Valley, CA 92284 Phone: 760-366-7555 Fax: 760-366-0529 | |
Erwin C Demiany Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57463 29 Palms Hwy, Yucca Valley, CA 92284 Phone: 760-228-1856 Fax: 760-228-1897 | |
Yucca Valley Family Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57463 29 Palms Hwy, Suite 203, Yucca Valley, CA 92284 Phone: 760-228-1855 Fax: 760-228-1897 |