Organization
A V FAMILY MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELQUIADES RIVERO VALENZUELA M.D. (PRESIDENT)
(661) 948-4707
Entity
Organization
Contact information
Practice address
43841 10TH ST W, LANCASTER, CA 93534-4802
(661) 948-4707
(661) 723-4967
Mailing address
43841 10TH ST W, LANCASTER, CA 93534-4802
(661) 948-4707
(661) 723-4967
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A24933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A249330
—
CA
Enumeration date
08/23/2012
Last updated
08/23/2012
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