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Organization
YUCCA VALLEY MEDICAL CLINIC
Active
Organization
YUCCA VALLEY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI HORNING (CREDENTIALER)
(707) 299-7043
Entity
Organization
Contact information
Practice address
57370 29 PALMS HWY STE 203, YUCCA VALLEY, CA 92284-2900
(760) 369-8200
Mailing address
57370 29 PALMS HWY STE 203, YUCCA VALLEY, CA 92284-2900
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/25/2023
Last updated
08/30/2023
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