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7350 Church St Yucca Valley CA 92284-3246 | |
| (760) 369-3069 | |
| (760) 369-3072 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 7350 Church St, Yucca Valley, California |
| Authorized Official Name and Position | Robert Stevens Robbins (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7607704600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7350 Church St Yucca Valley CA 92284-3246 Ph: (760) 369-3069 | 7350 Church St Yucca Valley CA 92284-3246 Ph: (760) 369-3069 |
| NPI Number | 1730149949 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730149949 | NPI | - | NPPES |
| RHM53845F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | G42621 (California) | Primary |
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