Organization · Type 2 NPI
Heritage Victor Valley Medical Group
Non-Pharmacy Dispensing Site · Victorville, CA
NPI number
1649506759
Active
Practice location
12408 Hesperia Rd, #2
Victorville, CA 92395-7718
Mailing address
9276 Scranton Rd, Suite 100
San Diego, CA 92121-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 54968 (CA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
8 other providers at this address
- Brent Arthur North, PA-CPhysician Assistant Victorville, CA NPI 1104155761
- Christopher Michael Tran, PA-CMedical Physician Assistant Victorville, CA NPI 1841521366
- Curtis C. Hoggarth, ODOptometrist Victorville, CA NPI 1134125321
- Michio Abe, MDInternal Medicine Physician Victorville, CA NPI 1285669671
- Neal S. Blank, DOFamily Medicine Physician Victorville, CA NPI 1518055490
- Prakash K. Yakkundi, MDInternal Medicine Physician Victorville, CA NPI 1851350771
- Tiffany T. Tran, MDFamily Medicine Physician Victorville, CA NPI 1831350131
- Wendell E. Wettstein, MDGeneral Practice Physician Victorville, CA NPI 1871551564
Other non-pharmacy dispensing site providers in Victorville
About NPI 1649506759
Heritage Victor Valley Medical Group's National Provider Identifier is 1649506759, issued on Oct 23, 2009. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Victorville, CA. The record was last updated on Nov 30, 2015.