Organization
HIGH DESERT PRIMARY CARE
Active
Organization
HIGH DESERT PRIMARY CARE
Active
Parent organization
MEDVANTX, INC.
Other names
High Desert Primary Care - Victorville
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
12550 HESPERIA RD, VICTORVILLE, CA 92395-5873
(760) 241-6666
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A53356
CA
Other
Enumeration date
09/11/2007
Last updated
10/22/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up