Organization
BEAR VALLEY CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO RUIZ VILLALPANDO MD (MEDICAL PROVIDER/OWNER)
(760) 245-5959
Entity
Organization
Contact information
Practice address
15532 BEAR VALLEY RD, VICTORVILLE, CA 92395-9260
(760) 245-5959
Mailing address
15532 BEAR VALLEY RD, VICTORVILLE, CA 92395-9260
(760) 245-5959
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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