| Aaa Family Medical Group | |
|
11949 Hesperia Rd Ste B Hesperia CA 92345-2181 | |
| (760) 242-5111 | |
| (760) 418-6486 |
| Full Name | Aaa Family Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 11949 Hesperia Rd Ste B, Hesperia, California |
| Authorized Official Name and Position | Josephine B Montana (OWNER) |
| Authorized Official Contact | 8622520531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaa Family Medical Group 820 N Mountain Ave Ste 103 Upland CA 91786-4163 Ph: (909) 236-5575 | Aaa Family Medical Group 11949 Hesperia Rd Ste B Hesperia CA 92345-2181 Ph: (760) 242-5111 |
| NPI Number | 1396147419 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 06/26/2025 |
| Medicare PECOS PAC ID | 9638487127 |
|---|---|
| Medicare Enrollment ID | O20151203002728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396147419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Josephine Baisa Montana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417984782 PECOS PAC ID: 6204017767 Enrollment ID: I20110217000084 |
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