Organization
FIRST VALLEY MEDICAL GROUP IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANAGARATNAM SIVALINGAM MD (PRESIDENT)
(661) 726-3724
Entity
Organization
Contact information
Practice address
44725 10TH ST W STE 170, LANCASTER, CA 93534-3000
(661) 726-3724
(661) 579-6405
Mailing address
44725 10TH ST W STE 170, LANCASTER, CA 93534-3000
(661) 726-3724
(661) 579-6405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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