Heritage Victor Valley Medical Group

  • 1649506759 NPI Number
  • |
  • Actived: 10 years ago
  • |
According to our database, NPI number for Heritage Victor Valley Medical Group is 1649506759 and actived since Friday, October 23 2009. Heritage Victor Valley Medical Group is an Organization provider specializes in Non-Pharmacy Dispensing Site. Provider information was last updated on 11/30/2015.

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Overview of Heritage Victor Valley Medical Group

  • NPI number: 1962049064
  • Provider type: Organization
  • Specialty: Non-Pharmacy Dispensing Site
  • Active since: 10/23/2009
  • Last updated: 11/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 332900000X
  • Specialty: Non-Pharmacy Dispensing Site
  • License Number: 54968
  • License State: CA

Provider Mailing Address

  • Address: 9276 Scranton Rd
    Suite 100
    San Diego, CA 92121
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 12408 Hesperia Rd
    #2
    Victorville, CA 92395
  • Phone: 760-245-4747
  • Fax:

Authorized Official

  • Name: Kenny Heine
  • Position/Title: Vp Of Operations
  • Telephone Number: 858-625-2990

Scope of Practice

  • Taxonomy Code: 332900000X
  • Specialty: Non-Pharmacy Dispensing Site
  • License Number: 54968
  • License State: CA
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Heritage Victor Valley Medical Group?
  • A: The npi number for Heritage Victor Valley Medical Group is 1649506759.
  • Q: What are Heritage Victor Valley Medical Group's specialties?
  • A: Heritage Victor Valley Medical Group's specialties are Non-Pharmacy Dispensing Site and different specialities.
  • Q: Where is Heritage Victor Valley Medical Group business practice location?
  • A: Heritage Victor Valley Medical Group business practice location is 12408 Hesperia Rd, Victorville, CA 92395.
  • Q: How to contact Heritage Victor Valley Medical Group?
  • A: You can contact Heritage Victor Valley Medical Group via 760-245-4747.
  • Q: What is the authorized official for Heritage Victor Valley Medical Group?
  • A: The authorized office name is Kenny Heine with position/title is Vp Of Operations and you can reach the authorized official via phone number 8586252990.