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Organization

DESERT FAMILY PRACTICE ASSOCIATES

Active
Parent organization
DESERT FAMILY PRACTICE ASSOCIATES
Other names
Family Practice Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
DESERT FAMILY PRACTICE ASSOCIATES
Authorized official
DR. MICHAEL J VIZCARRA M.D. (PRESIDENT/OWNER)
(760) 948-1454
Entity
Organization

Contact information

Practice address
11919 HESPERIA RD, HESPERIA, CA 92345-1855
(760) 948-1454
(760) 948-6100
Mailing address
11919 HESPERIA RD, SUITE A, HESPERIA, CA 92345-1855
(760) 948-1454
(760) 948-6100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1486
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0050900
CA
Enumeration date
05/17/2006
Last updated
03/05/2015
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