Organization
CENTRAL DESERT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN GROVE (DIRECTOR OF OPERATIONS)
(760) 242-7003
Entity
Organization
Contact information
Practice address
18031 US HIGHWAY 18, SUITE A, APPLE VALLEY, CA 92307-2152
(760) 242-7003
(760) 242-7703
Mailing address
18031 US HIGHWAY 18, SUITE A, APPLE VALLEY, CA 92307-2152
(760) 242-7003
(760) 242-7703
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
20A5179
CA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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