Organization · Type 2 NPI

Antelope Valley Community Clinic

Federally Qualified Health Center (FQHC) · Lancaster, CA

NPI number 1609199934 Active

Practice location

44216 10th St W
Lancaster, CA 93534-4134

Call (661) 942-2391 Map

Fax (661) 723-3769

Mailing address

45074 10th Street West, Suite 109
Lancaster, CA 93534-2382

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550001130 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

Molina Healthcare of CaliforniaFamily Medicine Physician Lancaster, CA NPI 1508970955
Daniel G. Shepherd, PA-CFamily Medicine Physician Lancaster, CA NPI 1952330763
Desiree Rivas, RD, IBCLCRegistered Dietitian Lancaster, CA NPI 1316552995
Nagwa Fouad Mina, MDFamily Medicine Physician Lancaster, CA NPI 1528234051
Vanessa Yanelli LunaCase Manager/Care Coordinator Lancaster, CA NPI 1962137992

Other federally qualified health center (fqhc) providers in Lancaster

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NPI record

NPI: 1609199934
Entity type: Organization (Type 2)
Issued: Mar 1, 2010
Last updated: Dec 6, 2012
Status: Active
Subpart: Yes of Antelope Valley Community Clinic

Other names

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Antelope Valley Community Clinic - Lancaster · doing business as

Authorized official

Mr. James A. Cook
CEO
(661) 942-2391

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609199934

Antelope Valley Community Clinic's National Provider Identifier is 1609199934, issued on Mar 1, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lancaster, CA. The record was last updated on Dec 6, 2012.