| Yucca Family Medical Care, Inc. | |
|
57675 29 Palms Hwy Suite 111 Yucca Valley CA 92284-3098 | |
| (760) 365-8500 | |
| (760) 365-8599 |
| Full Name | Yucca Family Medical Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 57675 29 Palms Hwy, Yucca Valley, California |
| Authorized Official Name and Position | Jenifer Batin (OFFICE MANAGER) |
| Authorized Official Contact | 7603658500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yucca Family Medical Care, Inc. 57675 29 Palms Hwy Ste. #111 Yucca Valley CA 92284-3098 Ph: (760) 365-8500 | Yucca Family Medical Care, Inc. 57675 29 Palms Hwy Suite 111 Yucca Valley CA 92284-3098 Ph: (760) 365-8500 |
| NPI Number | 1942640511 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 07/05/2016 |
| Medicare PECOS PAC ID | 0941388763 |
|---|---|
| Medicare Enrollment ID | O20130917000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942640511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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