| First Valley Medical Group | |
|
44725 10th St W Suite 170 Lancaster CA 93534-3033 | |
| (661) 726-3058 | |
| (661) 726-3723 |
| Full Name | First Valley Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 44725 10th St W, Lancaster, California |
| Authorized Official Name and Position | Kanagaratnam Sivalingam (PRESIDENT) |
| Authorized Official Contact | 6617263724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Valley Medical Group 44725 10th St W Ste 170 Lancaster CA 93534-3000 Ph: (661) 726-3724 | First Valley Medical Group 44725 10th St W Suite 170 Lancaster CA 93534-3033 Ph: (661) 726-3058 |
| NPI Number | 1235567124 |
|---|---|
| Provider Enumeration Date | 10/31/2013 |
| Last Update Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235567124 | NPI | - | NPPES |
| 00A300910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A30091 (California) | Primary |
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