Organization
JUVILUSAN S. SALAZAR, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUVILUSAN SALAZAR MD (OWNER)
(760) 241-8088
Entity
Organization
Contact information
Practice address
12760 HESPERIA RD STE C, VICTORVILLE, CA 92395-8305
(760) 241-8088
(760) 241-8803
Mailing address
12760 HESPERIA RD STE C, VICTORVILLE, CA 92395-8305
(760) 241-8088
(760) 241-8803
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A056175
CA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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