Organization
VICTOR VALLEY PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDEN I JALLORINA M.D. (PRESIDENT)
(760) 946-2600
Entity
Organization
Contact information
Practice address
16125 KAMANA RD, APPLE VALLEY, CA 92307-1377
(760) 946-2600
(760) 946-5600
Mailing address
16125 KAMANA RD, APPLE VALLEY, CA 92307-1377
(760) 946-2600
(760) 946-5600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C52186
CA
Other
Enumeration date
02/28/2008
Last updated
03/23/2020
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