# PHSF VICTOR VALLEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639487465
- **Authorized official:** MR. MICHAEL JOSEPH SARRAO (VICE-PRESIDENT & GENERAL COUNSEL)
- **Authorized official phone:** (909) 235-4307

## Contact information

- **Practice address:** 15248 ELEVENTH ST, VICTORVILLE, CA 92395-3704
- **Practice address phone:** (760) 245-8691
- **Practice address fax:** (760) 843-6020
- **Mailing address:** 3300 E GUASTI RD, 3RD FLOOR, ONTARIO, CA 91761-8655
- **Mailing address phone:** (909) 235-4307
- **Mailing address fax:** (909) 235-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 09/14/2010