| Valencia Internal Medical Group Inc | |
|
23823 Valencia Blvd Suite 210 Valencia CA 91355-2103 | |
| (661) 222-7333 | |
| (661) 259-9175 |
| Full Name | Valencia Internal Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23823 Valencia Blvd, Valencia, California |
| Authorized Official Name and Position | Lakhbinder Palsingh Dhanda (PRESIDENT) |
| Authorized Official Contact | 6612227333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valencia Internal Medical Group Inc 23823 Valencia Blvd Suite 210 Valencia CA 91355-2103 Ph: (661) 222-7333 | Valencia Internal Medical Group Inc 23823 Valencia Blvd Suite 210 Valencia CA 91355-2103 Ph: (661) 222-7333 |
| NPI Number | 1669482048 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 10/01/2014 |
| Medicare PECOS PAC ID | 2668417601 |
|---|---|
| Medicare Enrollment ID | O20050621000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669482048 | NPI | - | NPPES |
| 00A544460 | Medicaid | CA | |
| W16326 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A54446 (California) | Primary |
| Provider Name | Lakhbinder Palsingh Dhanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104867555 PECOS PAC ID: 9830134873 Enrollment ID: I20111220000870 |
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