Organization
DESERT FAMILY PRACTICE ASSOCOIATES MEDICAL GROUP INC
Active
Other names
Family Practice Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C VIZCARRA MD (MEDICAL DIRECTOR OWNER)
(760) 948-1454
Entity
Organization
Contact information
Practice address
11919 HESPERIA RD, SUITE C, HESPERIA, CA 92345-1855
(760) 948-1454
Mailing address
11919 HESPERIA RD, SUITE C, HESPERIA, CA 92345-1855
(760) 948-1454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G29952
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050900
—
CA
Enumeration date
03/26/2007
Last updated
08/22/2020
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