Organization
VICTOR VALLEY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLYNE FLORES (BILLING SUPERVISOR)
(760) 843-6187
Entity
Organization
Contact information
Practice address
15248 11TH ST, VICTORVILLE, CA 92395-3704
(760) 843-6187
Mailing address
15248 11TH ST, VICTORVILLE, CA 92395-3704
(760) 843-6187
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSD30517F
—
CA
Enumeration date
05/09/2007
Last updated
08/22/2020
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