Impact Care Access Network INC
NPI #1861858904 in Hesperia, California
Provider Information
- NPI Number
- 1861858904
- Entity Type
- Organization
- Organization Name
- Impact Care Access Network INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 5, 2016
- Last Updated
- Jan 5, 2016
Practice Location
- Address
- 9390 HESPERIA RD
- Address 2
- SUITE # 7
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-3602
- Phone
- (760) 998-2125
Authorized Official
- Name
- DR. PHILIP DIMITRIOS KOUROS, M.D.
- Title
- MEDICAL DOCTOR
- Phone
- (760) 948-4219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
| Clinic/Center - Primary Care — Primary Care |
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