| |
500 E Avenue K Lancaster CA 93535-4738 | |
(661) 254-6630 | |
(661) 254-6644 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 500 E Avenue K, Lancaster, California |
Authorized Official Name and Position | Stan Sharma (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6612546630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 801809 Valencia CA 91380-1809 Ph: (661) 254-6630 | 500 E Avenue K Lancaster CA 93535-4738 Ph: (661) 254-6630 |
NPI Number | 1992901078 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992901078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | PENDING (California) | Primary |
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