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Contact Information

HIGH DESERT MEDICAL OFFICE
14298 ST. ANDREWS DR
SUITE 11
VICTORVILLE, CA92395
 Phone: 760-243-2311
 Fax: 760-243-2880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for HIGH DESERT MEDICAL OFFICE · (Female)

NPI Number 1295989226
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2008
Last updated 06/18/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 14177
  • CA License # G43728
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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