Organization
WINDY CITY MEDICAL CLINIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY A ALVA (BILLING OFFICE MANAGER)
(760) 403-8758
Entity
Organization
Contact information
Practice address
500 S 7TH AVE STE A, BARSTOW, CA 92311-3057
(760) 255-2400
(760) 957-7517
Mailing address
PO BOX 1946, BARSTOW, CA 92312-1946
(760) 255-2400
(760) 957-7517
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G778041
—
CA
Enumeration date
02/21/2007
Last updated
06/11/2025
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