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Organization
VINTAGE MEDICAL GROUP OF PALMDALE
Active
Organization
VINTAGE MEDICAL GROUP OF PALMDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENA MARIE MARTINEZ (SECRETARY)
(661) 947-3300
Entity
Organization
Contact information
Practice address
1529 E PALMDALE BLVD, SUITE # 204, PALMDALE, CA 93550-2034
(661) 947-3300
(661) 947-3322
Mailing address
15218 SUMMIT AVE, SUITE # 300-538, FONTANA, CA 92336-0232
(661) 947-3300
(661) 947-3322
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
CA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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