Valley Wide Medical Group INC
NPI #1023295458 in Boron, California
Provider Information
- NPI Number
- 1023295458
- Entity Type
- Organization
- Organization Name
- Valley Wide Medical Group INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 29, 2008
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 12500 BORON AVE
- City
- Boron
- State
- California
- ZIP Code
- 93730
- Phone
- (760) 762-5111
Authorized Official
- Name
- PRABHAKAR TUMMALA, MD
- Title
- PRESIDENT
- Phone
- (909) 945-7687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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