| Impact Care Access Network Ii | |
|
9390 Hesperia Rd Ste 7 Hesperia CA 92345-3602 | |
| (760) 998-3550 | |
| (760) 998-3552 |
| Full Name | Impact Care Access Network Ii |
|---|---|
| Speciality | Family Medicine |
| Location | 9390 Hesperia Rd Ste 7, Hesperia, California |
| Authorized Official Name and Position | Emanuel Jeanpierre (CO-CEO) |
| Authorized Official Contact | 7609983550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Care Access Network Ii 9390 Hesperia Rd Ste 7 Hesperia CA 92345-3602 Ph: (760) 998-3550 | Impact Care Access Network Ii 9390 Hesperia Rd Ste 7 Hesperia CA 92345-3602 Ph: (760) 998-3550 |
| NPI Number | 1073003000 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073003000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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