Organization
WEWIN FOR HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA STEWART (PROGRAM DIRECTOR)
(760) 240-4729
Entity
Organization
Contact information
Practice address
17868 US HIGHWAY 18, PMB 359, APPLE VALLEY, CA 92307-1267
(760) 946-0212
Mailing address
19015 TOWN CENTER DR STE 206, APPLE VALLEY, CA 92308-8996
(760) 240-4729
(760) 240-2338
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
AJ1972579
CA
261QH0100X
Health Service Clinic/Center
Primary
NP6891
CA
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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