Organization · Type 2 NPI

High Desert Primary Care

Non-Pharmacy Dispensing Site · Hesperia, CA

NPI number 1750576344 Active

Practice location

17095 Main St
Hesperia, CA 92345-6004

Call (760) 948-6606 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	A48751 (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.)

14 other providers at this address

Other non-pharmacy dispensing site providers in Hesperia

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NPI record

NPI: 1750576344
Entity type: Organization (Type 2)
Issued: Sep 7, 2007
Last updated: Oct 22, 2012
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

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High Desert Primary Care - Hesperia · doing business as

Authorized official

Danielle Green
Director of Operations
(858) 625-2990

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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 1750576344

High Desert Primary Care's National Provider Identifier is 1750576344, issued on Sep 7, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Hesperia, CA. The record was last updated on Oct 22, 2012.