| High Desert Primary Care | |
|
12550 Hesperia Rd Ste 100 Victorville CA 92395-5873 | |
| (760) 241-6666 | |
| (760) 951-1609 |
| Full Name | High Desert Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 12550 Hesperia Rd, Victorville, California |
| Authorized Official Name and Position | Ziad El-hajjaoui (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7602416666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Primary Care 12550 Hesperia Rd Ste 100 Victorville CA 92395-5873 Ph: (760) 241-6666 | High Desert Primary Care 12550 Hesperia Rd Ste 100 Victorville CA 92395-5873 Ph: (760) 241-6666 |
| NPI Number | 1770537466 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770537466 | NPI | - | NPPES |
| ZZZ13501Z | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50633 (California) | Primary |
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