| A V Family Medicine Inc. | |
|
43841 10th St W Lancaster CA 93534-4802 | |
| (661) 948-4707 | |
| (661) 723-4967 |
| Full Name | A V Family Medicine Inc. |
|---|---|
| Speciality | General Practice |
| Location | 43841 10th St W, Lancaster, California |
| Authorized Official Name and Position | Melquiades Rivero Valenzuela (PRESIDENT) |
| Authorized Official Contact | 6619484707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A V Family Medicine Inc. 43841 10th St W Lancaster CA 93534-4802 Ph: (661) 948-4707 | A V Family Medicine Inc. 43841 10th St W Lancaster CA 93534-4802 Ph: (661) 948-4707 |
| NPI Number | 1043568066 |
|---|---|
| Provider Enumeration Date | 08/23/2012 |
| Last Update Date | 08/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043568066 | NPI | - | NPPES |
| 00A249330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A24933 (California) | Primary |
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