Organization
YUCCA VALLEY FAMILY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELDENE ARNE SMITH M.D. (OWNER)
(760) 228-1855
Entity
Organization
Contact information
Practice address
57463 29 PALMS HWY, SUITE 203, YUCCA VALLEY, CA 92284-2925
(760) 228-1855
(760) 228-1897
Mailing address
57463 29 PALMS HWY, SUITE 203, YUCCA VALLEY, CA 92284-2925
(760) 228-1855
(760) 228-1897
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A38944
CA
Other
Enumeration date
12/05/2006
Last updated
02/12/2013
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