Organization
VALLEY ORTHOPEDIC INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHUL MAHENRA TAYLOR MD (PRESIDENT)
(661) 949-8643
Entity
Organization
Contact information
Practice address
1533 N DOWNS ST, RIDGECREST, CA 93555-2456
(760) 446-2900
(760) 446-2910
Mailing address
647 W AVENUE Q, PALMDALE, CA 93551-3893
(661) 949-8643
(661) 947-1631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A102466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205037561
—
CA
05
—
1700087582
—
CA
Enumeration date
10/27/2009
Last updated
08/19/2014
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