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57019 Yucca Trail Ste C Yucca Valley CA 92284 | |
| (760) 365-9305 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 57019 Yucca Trail Ste C, Yucca Valley, California |
| Authorized Official Name and Position | Cindy Schmall (CEO) |
| Authorized Official Contact | 7608209229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6530 La Contenta Rd Ste 100 Yucca Valley CA 92284-7313 Ph: (760) 979-4276 | 57019 Yucca Trail Ste C Yucca Valley CA 92284 Ph: (760) 365-9305 |
| NPI Number | 1003369620 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003369620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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