Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DESERT VALLEY MEDICAL GROUP, INC.
Active
Organization
DESERT VALLEY MEDICAL GROUP, INC.
Active
Other names
DESERT VALLEY MEDICAL GROUP, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE LANGLEY (IPA ADMINISTRATOR)
(760) 900-2155
Entity
Organization
Contact information
Practice address
11883 AMETHYST RD STE 203, VICTORVILLE, CA 92392-9224
(760) 241-8000
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/03/2020
Last updated
04/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up