| Antelope Valley Primary Care Group | |
|
1331 W Avenue J Ste 101 Lancaster CA 93534-2942 | |
| (661) 414-7016 | |
| Not Available |
| Full Name | Antelope Valley Primary Care Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1331 W Avenue J Ste 101, Lancaster, California |
| Authorized Official Name and Position | Vincent M Estacio (PARTNER) |
| Authorized Official Contact | 6616733204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Primary Care Group 1331 W Avenue J Ste 101 Lancaster CA 93534-2942 Ph: (661) 414-7016 | Antelope Valley Primary Care Group 1331 W Avenue J Ste 101 Lancaster CA 93534-2942 Ph: (661) 414-7016 |
| NPI Number | 1306727599 |
|---|---|
| Provider Enumeration Date | 09/12/2025 |
| Last Update Date | 08/12/2026 |
| Certification Date | 08/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306727599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Secondary |
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