| NPI | 1295126001 |
|---|---|
| Doing Business As | HERITAGE VICTOR VALLEY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARTHA PAREDES Billing Manager 661-726-3819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2024-02-27 |