NPI | 1578900148 |
---|---|
Doing Business As | PREMIER VALLEY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MONCY RACHEL JOHN Fnp 661-396-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 650527) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 23810) |
Enumeration Date | 2013-05-23 |
Last Update Date | 2013-11-28 |