Organization
ANTELOPE VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION
Active
Other names
ANTELOPE VALLEY ENDOCRINOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRAVEENA PATEL (OFFICE MANAGER)
(661) 949-8882
Entity
Organization
Contact information
Practice address
43723 20TH ST W, SUITE 204, LANCASTER, CA 93534-4784
(661) 949-8882
(661) 949-8686
Mailing address
43723 20TH ST W, SUITE 204, LANCASTER, CA 93534-4784
(661) 949-8882
(661) 949-8686
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A66156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A661560
—
CA
Enumeration date
01/23/2007
Last updated
03/14/2014
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