Organization
DESERT COMMUNITIES MIBS, INC
Active
Other names
John Yadegar, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN YADEGAR M.D. (PRESIDENT)
(661) 723-7833
Entity
Organization
Contact information
Practice address
43830 10TH ST W, LANCASTER, CA 93534-4826
(661) 723-7833
(661) 723-2595
Mailing address
43830 10TH ST W, LANCASTER, CA 93534-4826
(661) 723-7833
(661) 723-2595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A87209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A872090
BLUE SHIELD PIN
—
01
—
A87209
PRIVATE INSURANCE PIN
—
Enumeration date
07/01/2006
Last updated
08/22/2020
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