| NPI | 1841804101 |
|---|---|
| Doing Business As | DESERT VALLEY MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | MARIE LANGLEY Ipa Administrator 760-900-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-04-21 |