Avalon Urgent Care Inc
Organization Active NPI Internal Medicine Physician · Yucca Valley, CA
NPI 1760599237 · NPPES record last updated Aug 19, 2009
Key facts
- NPI
- 1760599237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A89717 (CA)
- Legal business name
- AVALON URGENT CARE INC
- Practice address
- 58471 29 Palms Hwy
Suite 303
Yucca Valley, CA 92284-5818 - Phone
- (760) 365-0851
- Fax
- (760) 365-6848
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Rui Anthony Da Silva, MD
- Title
- President
- Phone
- (760) 365-0851
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | A89717 | CA | Yes |
| Internal Medicine Physician |
207R00000X | G36975 | CA | |
| General Practice Physician |
208D00000X | A33298 | CA |
Addresses
Primary practice location
58471 29 Palms Hwy
Suite 303
Yucca Valley, CA 92284-5818
Mailing address
58471 29 Palms Hwy
Suite 303
Yucca Valley, CA 92284-5818
Phone (760) 365-0851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G369750 | Medicaid | CA | |
| 00A332980 | Medicaid | CA | |
| 00A897170 | Medicaid | CA | |
| A332980 | Other | CA | LIC |
| ZZZ11547Z | Other | CA | MEDICARE ID |
Other providers in Yucca Valley, CA
- Ramona Arechiga
- Esteban Arellano-Risher
- Beverly M Ary
- Mary Ary
- Tanesha Larae Atwell
- Ayad M Gharghoury MD Inc
- Caroline Badel
- Pamela Baguley
- Mathew Reid Baker
- Sara Elizabeth Ball
All providers in Yucca Valley, CA · Internal Medicine 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 19, 2009. 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.