Organization
VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA L ROBBINS (OFFICE MANAGER)
(661) 945-2924
Entity
Organization
Contact information
Practice address
1517 N DOWNS ST, RIDGECREST, CA 93555-2456
(760) 466-7714
(760) 446-5226
Mailing address
38660 MEDICAL CENTER DR, SUITE A-380, PALMDALE, CA 93551-4385
(661) 948-5928
(661) 948-2210
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A31119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ00418Z
DMERC
CA
Enumeration date
02/21/2007
Last updated
11/12/2013
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