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Organization
HIGH DESERT PRIMARY CARE
Active
Organization
HIGH DESERT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD EL-HAJJAOUI M.D. (MEDICAL DIRECTOR)
(760) 241-6666
Entity
Organization
Contact information
Practice address
12550 HESPERIA RD, STE 100, VICTORVILLE, CA 92395-5873
(760) 241-6666
(760) 951-1609
Mailing address
12550 HESPERIA RD, STE 100, VICTORVILLE, CA 92395-5873
(760) 241-6666
(760) 951-1609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A50633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ13501Z
MEDICARE PTAN
CA
Enumeration date
05/19/2006
Last updated
02/22/2011
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