Organization
DESERT VALLEY MEDICAL GROUP, INC.
Active
Other names
Primecare Medical Group of Desert Valley, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITHA BHATIA M.D. (PRESIDENT/OWNER)
(760) 241-8000
Entity
Organization
Contact information
Practice address
12401 HESPERIA RD, VICTORVILLE, CA 92395-7707
(760) 241-8000
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4584430004
DMERC
CA
05
—
GR0072098
—
CA
Enumeration date
06/02/2006
Last updated
04/27/2020
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