Antelope Valley Hospital OB Clinic Palmdale

Organization Active NPI Non-Surgical Family Planning Clinic/Center · Palmdale, CA

NPI 1154783140 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1154783140
Entity type
Organization (NPI type 2)
Primary specialty
Non-Surgical Family Planning Clinic/Center 261QF0050X
Legal business name
ANTELOPE VALLEY HOSPITAL OB CLINIC PALMDALE
Practice address
38350 40TH St E
Suite 200
Palmdale, CA 93552-3075
Phone
(661) 726-6325
Fax
(661) 726-6333
NPI assigned
Mar 28, 2016
Organization subpart
Yes
Parent organization (as reported)
ANTELOPE VALLEY HEALTHCARE DISTRICT

Authorized official

Name
Mr. Michael Wall
Title
Chief Executive Officer
Phone
(661) 949-5512

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Antelope Valley Hosp-ER (5 organizations share this tax ID)
Part of
Antelope Valley Hosp-ER

Locations

38350 40th St E
Ste 200
Palmdale, CA 93552
Phone (661) 726-6325

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Yes

Addresses

Primary practice location

38350 40TH St E
Suite 200
Palmdale, CA 93552-3075

Mailing address

1600 W Avenue J
Lancaster, CA 93534-2814
Phone (661) 726-6325

Other identifiers

IdentifierTypeStateIssuer
1366419517MedicaidCA

Other providers in Palmdale, CA

All providers in Palmdale, CA · Non-Surgical Family Planning Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.