Organization
VVIPA MEDICAL GROUP INC
Active
Parent organization
HERITAGE PROVIDER NETWORK
Other names
Heritage Victor Valley Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE PROVIDER NETWORK
Authorized official
MARTHA PAREDES (BILLING MANAGER)
(661) 726-3819
Entity
Organization
Contact information
Practice address
12370 HESPERIA RD, SUITE 6, VICTORVILLE, CA 92395-7719
(760) 245-4747
(760) 245-4868
Mailing address
PO BOX 7020, LANCASTER, CA 93539-7020
(661) 726-3819
(661) 793-7025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/27/2024
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