| Uc Irvine Health Cddc High Desert | |
|
12595 Hesperia Rd Suite 101 Victorville CA 92395-5882 | |
| (760) 269-3099 | |
| (760) 269-3038 |
| Full Name | Uc Irvine Health Cddc High Desert |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12595 Hesperia Rd, Victorville, California |
| Authorized Official Name and Position | Manuel Porto (PRESIDENT) |
| Authorized Official Contact | 7144562986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Irvine Health Cddc High Desert Po Box 512347 Los Angeles CA 90051-0347 Ph: (714) 456-3856 | Uc Irvine Health Cddc High Desert 12595 Hesperia Rd Suite 101 Victorville CA 92395-5882 Ph: (760) 269-3099 |
| NPI Number | 1720536550 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720536550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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