High Desert Primary Care
NPI #1750576344 in Hesperia, California
Provider Information
- NPI Number
- 1750576344
- Entity Type
- Organization
- Organization Name
- High Desert Primary Care
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 7, 2007
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 17095 MAIN ST
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-6004
- Phone
- (760) 948-6606
Authorized Official
- Name
- DANIELLE GREEN
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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| Eric R. Hansen, D.o., Professional Corporation Part of Medvantx, INC | |
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