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Organization
DESERT FAMILY PRACTICE ASSOCOIATES MEDICAL GROUP INC
Active
Organization
DESERT FAMILY PRACTICE ASSOCOIATES MEDICAL GROUP INC
Active
Other names
Family Practice Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C VIZCARRA MD (MEDICAL DIRECTOR OWNER)
(760) 948-1454
Entity
Organization
Contact information
Practice address
11919 HESPERIA RD, SUITE C, HESPERIA, CA 92345-1855
(760) 948-1454
Mailing address
11919 HESPERIA RD, SUITE C, HESPERIA, CA 92345-1855
(760) 948-1454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G29952
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050900
—
CA
Enumeration date
03/26/2007
Last updated
08/22/2020
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