Organization
AASPEN VILLAGE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSHTAQ KHAN M.D. (C.E.O.)
(310) 383-5176
Entity
Organization
Contact information
Practice address
7633 KICKAPOO TRL, YUCCA VALLEY, CA 92284-3339
(760) 228-2729
Mailing address
7633 KICKAPOO TRL, YUCCA VALLEY, CA 92284-3339
(760) 228-2729
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3366423704
CA
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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