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Organization
PALMDALE MEDICAL CLINIC INC
Active
Organization
PALMDALE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA V GORELIKOVA M.D. (OWNER)
(661) 947-5600
Entity
Organization
Contact information
Practice address
540 W PALMDALE BLVD, SUITE B, PALMDALE, CA 93551-4232
(661) 947-5600
(661) 947-5900
Mailing address
540 W PALMDALE BLVD, SUITE B, PALMDALE, CA 93551-4232
(661) 947-5600
(661) 947-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A102339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102339
MEDICAL LIC
CA
Enumeration date
09/19/2016
Last updated
09/19/2016
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