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1111 N China Lake Blvd Ridgecrest CA 93555-3196 | |
| (760) 446-8281 | |
| (760) 446-8289 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 N China Lake Blvd, Ridgecrest, California |
| Authorized Official Name and Position | Ernie Quier (OPERATIONS MANAGER) |
| Authorized Official Contact | 7604468281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1111 N China Lake Blvd Ridgecrest CA 93555-3196 Ph: (760) 446-8281 | 1111 N China Lake Blvd Ridgecrest CA 93555-3196 Ph: (760) 446-8281 |
| NPI Number | 1841294634 |
|---|---|
| Provider Enumeration Date | 06/09/2005 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841294634 | NPI | - | NPPES |
| ZZZ70302Z | Medicaid | CA |
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