| Symba Center | |
|
14049 Amargosa Rd Victorville CA 92392-2493 | |
| (760) 515-2464 | |
| Not Available |
| Full Name | Symba Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 14049 Amargosa Rd, Victorville, California |
| Authorized Official Name and Position | Shawn Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7605152464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Symba Center 20601 Us Highway 18 Ste 171 Apple Valley CA 92307-3578 Ph: (760) 515-2464 | Symba Center 14049 Amargosa Rd Victorville CA 92392-2493 Ph: (760) 515-2464 |
| NPI Number | 1083362297 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Medicare PECOS PAC ID | 3375982317 |
|---|---|
| Medicare Enrollment ID | O20240423003304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083362297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Darlene F Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104880962 PECOS PAC ID: 3375852148 Enrollment ID: I20151016001913 |
| Provider Name | Joshua Eric Wendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932691151 PECOS PAC ID: 9537563572 Enrollment ID: I20210812001482 |
| Provider Name | Ester Victoria Barraza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588158711 PECOS PAC ID: 5799028429 Enrollment ID: I20230612002853 |
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