| NPI | 1033634373 |
|---|---|
| Doing Business As | PVHC@ LAVERNE |
| Doing Business As | FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEANDA Medical Director 909-865-9501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-15 |