Organization
ANTELOPE VALLEY HOSPITAL OB CLINIC PALMDALE
Active
Parent organization
ANTELOPE VALLEY HEALTHCARE DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTELOPE VALLEY HEALTHCARE DISTRICT
Authorized official
MR. MICHAEL WALL (CHIEF EXECUTIVE OFFICER)
(661) 949-5512
Entity
Organization
Contact information
Practice address
38350 40TH ST E, SUITE 200, PALMDALE, CA 93552-3075
(661) 726-6325
(661) 726-6333
Mailing address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 726-6325
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366419517
—
CA
Enumeration date
03/28/2016
Last updated
03/09/2017
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