| Family Practice Associates | |
|
15863 Kasota Rd Apple Valley CA 92307-4507 | |
| (760) 256-3864 | |
| (760) 256-7378 |
| Full Name | Family Practice Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 15863 Kasota Rd, Apple Valley, California |
| Authorized Official Name and Position | Michael Jordan Vizcarra (OWNER) |
| Authorized Official Contact | 7609481454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates 11919 Hesperia Rd Suite A Hesperia CA 92345-1855 Ph: (760) 948-1454 | Family Practice Associates 15863 Kasota Rd Apple Valley CA 92307-4507 Ph: (760) 256-3864 |
| NPI Number | 1073647269 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073647269 | NPI | - | NPPES |
| GR0050902 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00000843 (California) | Primary |
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