Organization
ANTELOPE VALLEY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT M ESTACIO RN (PARTNER)
(661) 673-3204
Entity
Organization
Contact information
Practice address
1331 W AVENUE J STE 101, LANCASTER, CA 93534-2942
(661) 414-7016
Mailing address
1331 W AVENUE J STE 101, LANCASTER, CA 93534-2942
(661) 414-7016
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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