Organization
JOSE R. PILPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R. PILPA MD (MEDICAL DIRECTOR)
(760) 381-8860
Entity
Organization
Contact information
Practice address
15201 ELEVENTH ST STE 100, VICTORVILLE, CA 92395-3735
(760) 381-8860
(760) 381-8864
Mailing address
15201 ELEVENTH ST STE 100, VICTORVILLE, CA 92395-3735
(760) 381-8860
(760) 381-8864
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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