A V Family Medicine Inc.
Organization Active NPI General Practice Physician · Lancaster, CA
NPI 1043568066 · NPPES record last updated Aug 23, 2012
Key facts
- NPI
- 1043568066
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A24933 (CA)
- Legal business name
- A V FAMILY MEDICINE INC.
- Practice address
- 43841 10TH St W
Lancaster, CA 93534-4802 - Phone
- (661) 948-4707
- Fax
- (661) 723-4967
- NPI assigned
- Aug 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Melquiades Rivero Valenzuela, M.D.
- Title
- President
- Phone
- (661) 948-4707
National Provider Directory
Locations
43841 10th St W
Lancaster, CA 93534
Phone (661) 948-4707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | A24933 | CA | Yes |
Addresses
Primary practice location
43841 10TH St W
Lancaster, CA 93534-4802
Mailing address
43841 10TH St W
Lancaster, CA 93534-4802
Phone (661) 948-4707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A249330 | Medicaid | CA |
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All providers in Lancaster, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.