SOUTHWEST PROFESSIONAL MEDICAL ARTS APPLE VALLEY, CA

Contact Information

SOUTHWEST PROFESSIONAL MEDICAL ARTS

17868 HWY 18 #329
APPLE VALLEY, CA 92307

Phone: 760-946-5177
Fax: 760-946-5133
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for SOUTHWEST PROFESSIONAL MEDICAL ARTS · (Female)

NPI Number	`1043404700`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/05/2007
Last updated	06/25/2008 - About 18 years ago
Sole proprietor ¹	Not specified
Identifiers	CA License # C38699 CA Medicaid 00C386992
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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