| Juvilusan S. Salazar, M.d., Inc. | |
|
12760 Hesperia Rd Ste C Victorville CA 92395-8305 | |
| (760) 241-8088 | |
| (760) 241-8803 |
| Full Name | Juvilusan S. Salazar, M.d., Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12760 Hesperia Rd Ste C, Victorville, California |
| Authorized Official Name and Position | Juvilusan Salazar (OWNER) |
| Authorized Official Contact | 7602418088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juvilusan S. Salazar, M.d., Inc. 12760 Hesperia Rd Ste C Victorville CA 92395-8305 Ph: (760) 241-8088 | Juvilusan S. Salazar, M.d., Inc. 12760 Hesperia Rd Ste C Victorville CA 92395-8305 Ph: (760) 241-8088 |
| NPI Number | 1588157416 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 06/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588157416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A056175 (California) | Primary |
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