| Desert Valley Medical Group, Inc. | |
|
14214 Main St Hesperia CA 92345-4632 | |
| (760) 241-8000 | |
| Not Available |
| Full Name | Desert Valley Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14214 Main St, Hesperia, California |
| Authorized Official Name and Position | Kavitha Bhatia (OWNER) |
| Authorized Official Contact | 7602418000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Valley Medical Group, Inc. 16850 Bear Valley Rd Victorville CA 92395-5794 Ph: (760) 241-8000 | Desert Valley Medical Group, Inc. 14214 Main St Hesperia CA 92345-4632 Ph: (760) 241-8000 |
| NPI Number | 1144272717 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144272717 | NPI | - | NPPES |
| 4584430007 | Other | CA | DMERC |
| CC8406 | Other | CA | RAILROAD MEDICARE |
| GR007209B | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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