Organization
YUCCA VALLEY FAMILY MEDICAL ASSOCIATES, INC.
Active
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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