High Desert Primary Care Medical Group
NPI #1942529482 in Apple Valley, California
Provider Information
- NPI Number
- 1942529482
- Entity Type
- Organization
- Organization Name
- High Desert Primary Care Medical Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- May 24, 2010
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 19333 BEAR VALLEY RD
- Address 2
- 101
- City
- Apple Valley
- State
- California
- ZIP Code
- 92308-5148
- Phone
- (760) 240-3784
Authorized Official
- Name
- KENNY HEINE
- Title
- SR. DIRECTOR OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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