| High Desert Osteopathic Medical Care A Medical Corporation | |
|
16017 Tuscola Rd Suite E Apple Valley CA 92307-1317 | |
| (760) 946-1776 | |
| (760) 946-1668 |
| Full Name | High Desert Osteopathic Medical Care A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 16017 Tuscola Rd, Apple Valley, California |
| Authorized Official Name and Position | Cynthia Lynn Thomas (CEO PHYSICIAN) |
| Authorized Official Contact | 7609461776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Osteopathic Medical Care A Medical Corporation 16017 Tuscola Rd Suite E Apple Valley CA 92307-1317 Ph: (760) 946-1776 | High Desert Osteopathic Medical Care A Medical Corporation 16017 Tuscola Rd Suite E Apple Valley CA 92307-1317 Ph: (760) 946-1776 |
| NPI Number | 1023161635 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527145077 |
|---|---|
| Medicare Enrollment ID | O20080408000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023161635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6876 (California) | Primary |
| Provider Name | Cynthia L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083767636 PECOS PAC ID: 2769418722 Enrollment ID: I20050711000769 |
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