Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VALLEY INFECTIONS DISEASE MEDICAL GROUP INC A MEDICAL CORPORATION
Active
Organization
VALLEY INFECTIONS DISEASE MEDICAL GROUP INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLSWORTH PAXTON PRYOR, III M.D (PRESIDENT)
(661) 255-8544
Entity
Organization
Contact information
Practice address
23928 LYONS AVE, #208, NEWHALL, CA 91321-2409
(661) 255-8544
(661) 255-9964
Mailing address
23928 LYONS AVE, #208, NEWHALL, CA 91321-2409
(661) 255-8544
(661) 255-9964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G29880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G298800
—
CA
Enumeration date
07/06/2006
Last updated
05/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up