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Contact Information

WESTSIDE PREMIER MED GRP
17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA92395
 Phone: 760-245-8182
 Fax: 760-245-2123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WESTSIDE PREMIER MED GRP · (Female)

NPI # 1376680124
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A36514
  • CA License # DC21523
  • CA License # DC27666
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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