Organization
DESERT VALLEY MEDICAL GROUP, INC.
Active
Other names
DESERT VALLEY MEDICAL GROUP, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE LANGLEY (IPA ADMINISTRATOR)
(760) 900-2155
Entity
Organization
Contact information
Practice address
11883 AMETHYST RD STE 203, VICTORVILLE, CA 92392-9224
(760) 241-8000
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/03/2020
Last updated
04/21/2021
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