Organization · Type 2 NPI

Antelope Valley Community Clinic

Federally Qualified Health Center (FQHC) · Lancaster, CA

NPI number 1710199674 Active

Practice location

45104 10th St W
Lancaster, CA 93534-2310

Fax (661) 902-6839

Mailing address

45074 10th St W, Suite 109
Lancaster, CA 93534-2371

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X060000428 (CA)

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

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About NPI 1710199674

Antelope Valley Community Clinic's National Provider Identifier is 1710199674, issued on May 4, 2007. 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 Sep 12, 2013.