Bear Valley Clinica Medica Familiar a Medical Corporation

NPI #1093355109 in Victorville, California

Provider Information

NPI Number: 1093355109
Entity Type: Organization
Organization Name: Bear Valley Clinica Medica Familiar a Medical Corporation
Primary Specialty: General Practice
Enumeration Date: Jan 7, 2020
Last Updated: Jan 7, 2020

Practice Location

Address: 15532 BEAR VALLEY RD
City: Victorville
State: California
ZIP Code: 92395-9260
Phone: (760) 245-5959

Authorized Official

Name: OCTAVIO RUIZ VILLALPANDO, MD
Title: MEDICAL PROVIDER/OWNER
Phone: (760) 245-5959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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