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Contact Information

ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
900 HERITAGE WAY, BLDG A
RIDGECREST, CA93555
 Phone: 760-446-4571
 Fax: 661-945-4867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP

NPI # 1831489152
LBN Legal business name ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Authorized official SYED AHMED - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2011
Last updated 04/08/2011 - About 15 years ago
Identifiers
CA License # A87434
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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