Organization
HIGH DESERT MEDICAL GROUP
Active
Parent organization
HERITAGE PROVIDER NETWORK, INC.
Other names
HIGH DESERT MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE PROVIDER NETWORK, INC.
Authorized official
DR. CHARLES MYAING LIM M.D. (MEDICAL DIRECTOR)
(661) 945-5984
Entity
Organization
Contact information
Practice address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 945-5984
(661) 951-3192
Mailing address
PO BOX 7007, LANCASTER, CA 93539-7007
(661) 945-5984
(661) 951-3192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0047930
—
CA
05
—
GR0047931
—
CA
Enumeration date
08/29/2006
Last updated
09/02/2025
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