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Organization
ANTELOPE VALLEY MEDICAL GROUP
Active
Organization
ANTELOPE VALLEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAIN KUMAR (PRESIDENT)
(661) 618-8119
Entity
Organization
Contact information
Practice address
357 E BALFOUR AVE, FRESNO, CA 93720-0709
(559) 434-0203
Mailing address
540 W PALMDALE BLVD, PALMDALE, CA 93551-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A667882
CA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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