Organization
DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY CA
Active
Other names
Victorville Multidiagnosis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. DAY (INFORMATION TECHNOLOGY MANAGER)
(909) 388-0570
Entity
Organization
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(909) 382-3080
(909) 382-3105
Mailing address
268 W HOSPITALITY LN, SUITE 400, SAN BERNARDINO, CA 92415-0001
(909) 382-3080
(909) 382-3105
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ZZZ74743Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36AC
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us