High Desert Pathology Medical Group

NPI 1407191356 - Pathology - 207ZP0102X

NPI Details
NPI 1407191356
Enumeration Date 12/04/2012
Last Updated 12/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name REDA M REDA
Position PRESIDENT
Phone (760) 843-6262
Fax
Practice Location
16850 BEAR VALLEY RD
VICTORVILLE CA, 92395-5794, US
Phone (760) 843-6262
Fax
Business Location
PO BOX 10076
VAN NUYS CA, 91410-0076, US
Phone (805) 578-8300
Fax (805) 578-3911
Toxanomy
Taxonomy Code 207ZP0102X
License State California
License Number 05D0563949
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According to our database, High Desert Pathology Medical Group NPI is 1407191356, taxonomy code is 207ZP0102X and license number is 05D0563949, license state is located at California. High Desert Pathology Medical Group physically located at 16850 Bear Valley Rd, Victorville CA, 92395-5794. NPI Number 1033115704 has the healthcare provider type.

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1407191356 NPI number is provided on an as is basis without warranty of any kind. 1407191356 is maintained by the National Plan & Provider Enumeration System. The contents of High Desert Pathology Medical Group are for informational purposes only.