Organization
VALENCIA FAMILY CARE MEDICAL GROUP
Active
Other names
HIGH DESERT PEDIATRIC URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO VALENCIA SR. (OFFICE ADMINISTRATOR)
(760) 952-3892
Entity
Organization
Contact information
Practice address
12677 HESPERIA RD STE 150, VICTORVILLE, CA 92395-7735
(760) 952-3892
(855) 490-7027
Mailing address
12677 HESPERIA RD STE 150, VICTORVILLE, CA 92395-7735
(760) 952-3892
(855) 490-7027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A537870
—
CA
Enumeration date
09/29/2017
Last updated
09/29/2017
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