Organization
ADRIAN TRIPP MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA TRIPP (ADMINISTRATOR)
(760) 983-2250
Entity
Organization
Contact information
Practice address
15095 AMARGOSA RD STE 280, VICTORVILLE, CA 92394-1885
(760) 998-2125
Mailing address
15095 AMARGOSA RD STE 280, VICTORVILLE, CA 92394-1885
(760) 998-2125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A139969
CA
261QU0200X
Urgent Care Clinic/Center
A139969
CA
Other
Enumeration date
10/23/2017
Last updated
03/30/2018
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