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Organization
VICTORVILLE PEDIATRICS
Active
Organization
VICTORVILLE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAMITA MOHIDEEN MD (OWNER)
(760) 662-7420
Entity
Organization
Contact information
Practice address
15237 ELEVENTH ST STE A, VICTORVILLE, CA 92395-3736
(909) 823-8000
(909) 823-8088
Mailing address
16465 SIERRA LAKES PKWY STE 275, FONTANA, CA 92336-1263
(909) 823-8000
(909) 823-8088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/17/2018
Last updated
09/29/2022
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