| Azaduhi Kalaydjian, CNM, WHNP-BC | |
|
16850 Bear Valley Rd, Victorville, CA 92395-5794 | |
| (760) 241-8000 | |
| Not Available |
| Full Name | Azaduhi Kalaydjian |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 16850 Bear Valley Rd, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619685633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 95023156 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 236326 (California) | Primary |
| Entity Name | Desert Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803 |
| Entity Name | Obhg California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
| Entity Name | Dhp Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679836084 PECOS PAC ID: 9234388745 Enrollment ID: O20120927000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Azaduhi Kalaydjian, CNM, WHNP-BC 10121 Memory Park Ave, Mission Hills, CA 91345-2726 Ph: (818) 689-5120 | Azaduhi Kalaydjian, CNM, WHNP-BC 16850 Bear Valley Rd, Victorville, CA 92395-5794 Ph: (760) 241-8000 |
Wende M Owen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 15403 Park Ave E, Victorville, CA 92392 Phone: 909-890-5511 | |
Melina Flores, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 15403 Park Ave E, Victorville, CA 92392 Phone: 909-533-9492 |