Organization
HIGH DESERT VALLEY PEDIATRIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRAMS M.D. (PRESIDENT)
(760) 242-3677
Entity
Organization
Contact information
Practice address
18270 SISKIYOU RD, APPLE VALLEY, CA 92307-1413
(760) 242-3677
(760) 242-3897
Mailing address
18270 SISKIYOU RD, APPLE VALLEY, CA 92307-1413
(760) 242-3677
(760) 242-3897
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G31712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0023000
—
CA
Enumeration date
07/06/2006
Last updated
08/22/2020
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