| Antelope Valley Endocrinology, A Professional Corporation | |
|
43723 20th St W Suite 204 Lancaster CA 93534-4784 | |
| (661) 949-8882 | |
| (661) 949-8686 |
| Full Name | Antelope Valley Endocrinology, A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 43723 20th St W, Lancaster, California |
| Authorized Official Name and Position | Praveena Patel (OFFICE MANAGER) |
| Authorized Official Contact | 6619498882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Endocrinology, A Professional Corporation 43723 20th St W Suite 204 Lancaster CA 93534-4784 Ph: (661) 949-8882 | Antelope Valley Endocrinology, A Professional Corporation 43723 20th St W Suite 204 Lancaster CA 93534-4784 Ph: (661) 949-8882 |
| NPI Number | 1801940812 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 03/14/2014 |
| Medicare PECOS PAC ID | 8820227895 |
|---|---|
| Medicare Enrollment ID | O20140217000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801940812 | NPI | - | NPPES |
| 00A661560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A66156 (California) | Primary |
| Provider Name | Ashiq V Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376542811 PECOS PAC ID: 8921911769 Enrollment ID: I20031107000652 |
County Of Los Angeles Auditor Controller Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-948-8581 | |
K.sivakumar,m.d.,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 15th St W, Suite # 307, Lancaster, CA 93534 Phone: 661-949-5908 Fax: 661-949-5594 | |
County Of Los Angeles Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-471-4280 | |
County Of Los Angeles Auditor Controller Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-948-8581 | |
Complete Family Care Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-945-7181 Fax: 661-942-6008 | |
Kumarasamy Sivakumar M.d. ,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 N. 15th St. West, Lancaster, CA 93534 Phone: 661-949-5908 | |
Ark Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1206 W Avenue J # 220b, Lancaster, CA 93534 Phone: 951-617-0179 Fax: 951-582-2300 |