Organization
CLINICIANS MEDICAL GROUP HD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURRAY KEMP M.D. (PRESIDENT)
(626) 236-8484
Entity
Organization
Contact information
Practice address
11883 AMETHYST ROAD, SUITE 100, VICTORVILLE, CA 92392
(760) 998-1221
Mailing address
11883 AMETHYST ROAD, SUITE 100, VICTORVILLE, CA 92392
(760) 998-1221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G69810
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730152935
NPI
CA
05
—
G698000
—
CA
Enumeration date
02/18/2014
Last updated
02/18/2014
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