Aspen Pediatric Clinic,inc.
NPI #1538304134 in Victorville, California
Provider Information
- NPI Number
- 1538304134
- Entity Type
- Organization
- Organization Name
- Aspen Pediatric Clinic,inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 10, 2008
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 15203 11TH ST
- Address 2
- SUITE C
- City
- Victorville
- State
- California
- ZIP Code
- 92395-3737
- Phone
- (760) 951-9985
Authorized Official
- Name
- DR. MARCELINO S CALIMLIM JR., M.D.
- Title
- PRESIDENT
- Phone
- (760) 951-9985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Clinic/Center |
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