| Yucca Valley Medical Clinic | |
|
57370 29 Palms Hwy Ste 203 Yucca Valley CA 92284-2900 | |
| (760) 369-8200 | |
| Not Available |
| Full Name | Yucca Valley Medical Clinic |
|---|---|
| Speciality | Surgery |
| Location | 57370 29 Palms Hwy Ste 203, Yucca Valley, California |
| Authorized Official Name and Position | Heidi Horning (CREDENTIALER) |
| Authorized Official Contact | 7072997043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yucca Valley Medical Clinic 57370 29 Palms Hwy Ste 203 Yucca Valley CA 92284-2900 Ph: () - | Yucca Valley Medical Clinic 57370 29 Palms Hwy Ste 203 Yucca Valley CA 92284-2900 Ph: (760) 369-8200 |
| NPI Number | 1952186322 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 0941647564 |
|---|---|
| Medicare Enrollment ID | O20240319001447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952186322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | (* (Not Available)) | Primary |
| Provider Name | Matthew G Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043525587 PECOS PAC ID: 6800079815 Enrollment ID: I20110330000058 |
| Provider Name | Juan Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467423772 PECOS PAC ID: 7517970734 Enrollment ID: I20240311003295 |
Hi-desert Memorial Health Care District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 Phone: 760-365-9305 | |
Edith A. Jones-poland Md Professional Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56925 Yucca Trl, Number 232, Yucca Valley, CA 92284 Phone: 760-401-2502 | |
Omni Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7281 Dumosa Ave Ste 2, Yucca Valley, CA 92284 Phone: 760-365-2722 Fax: 760-365-5099 | |
Nowysz Regenerative Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55887 Yucca Trl, Yucca Valley, CA 92284 Phone: 760-365-0804 | |
Erwin C Demiany Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57463 29 Palms Hwy, Yucca Valley, CA 92284 Phone: 760-228-1856 Fax: 760-228-1897 | |
Yucca Valley Family Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57463 29 Palms Hwy, Suite 203, Yucca Valley, CA 92284 Phone: 760-228-1855 Fax: 760-228-1897 | |
Howard P. Levy D.o., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57370 29 Palms Hwy, Suite 203, Yucca Valley, CA 92284 Phone: 760-369-0069 |