UC IRVINE HEALTH CDDC HIGH DESERT

VICTORVILLE, CA
NPI1720536550
Entity TypeOrganization
Authorized ContactMANUEL PORTO
President
714-456-2986
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
UC IRVINE HEALTH CDDC HIGH DESERT
12595 HESPERIA RD SUITE 101
VICTORVILLE, CA 92395-5882
Phone number: 760-269-3099
Mailing Address
UC IRVINE HEALTH CDDC HIGH DESERT
PO BOX 512347
LOS ANGELES, CA 90051-0347
Phone number: 714-456-3856
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