<Unavail>

LBN: Desert Family Practice Associates
<Unavail> is an health care organization with primary practice located at 15863 Kasota Rd , Apple Valley CA 92307-4507. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Desert Family Practice Associates can be contacted via phone (760) 256-3864, or through Vizcarra, Michael Jordan via phone (760) 948-1454.

Contact Information

Primary practice address
15863 Kasota Rd Apple Valley CA 92307-4507
Phone: (760) 256-3864
Fax: (760) 256-7378
Website:
Map and Directions
Authorized official contact:
Name: Vizcarra, Michael Jordan Doctor of Medicine (MD)
Phone: (760) 948-1454

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00000843 California

Profile Details

NPI number 1073647269
LBN Legal business name Desert Family Practice Associates
DBA Doing business as <Unavail>
Authorized official Vizcarra, Michael Jordan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 16th, 2007
Last updated Mar 6th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073647269 NPPES
California MEDICAID GR0050902

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