Westside Premier Med Grp in Victorville - Orthopaedic Surgery
Westside Premier Med Grp - NPI 1376680124
Westside Premier Med Grp is a Orthopaedic Surgery in Victorville, California. Westside Premier Med Grp practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Westside Premier Med Grp is 1376680124. The last update date is 2020-08-22.
Westside Premier Med Grp's current location address is 17330 Bear Valley Rd Ste 105, Victorville, California. You can contact this provider via phone number 7602458182 and fax number 7602452123. The mailing address for Westside Premier Med Grp is 17330 Bear Valley Rd Ste 105, Victorville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Westside Premier Med Grp |
|---|---|
| Address | 17330 Bear Valley Rd Ste 105, Victorville, California |
| Phone Number | 7602458182 |
| Fax Number | 7602452123 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Ammerman Kim |
| Telephone Number | 7609491489 |
NPI Number Detail
| NPI Number | 1376680124 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17330 Bear Valley Rd Ste 105 |
|---|---|
| City | Victorville |
| State | California (CA) |
| Post Code | 92395 |
| Phone Number | 7602458182 |
| Fax Number | 7602452123 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | A36514 |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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What is the unique identifier code issued to Westside Premier Med Grp by the Centers for Medicare & Medicaid Services?
The Westside Premier Med Grp has been assigned the NPI (National Provider Identifier) 1376680124. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Westside Premier Med Grp?
The Westside Premier Med Grp is physically situated at 17330 Bear Valley Rd Ste 105, in the city of Victorville, state of CA, with the postal code 92395.
What is the Westside Premier Med Grp's area of specialization and corresponding taxonomy classification?
The Westside Premier Med Grp's specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Westside Premier Med Grp receive the assignment of its 1376680124 from the Centers for Medicare & Medicaid Services?
The Westside Premier Med Grp was issued its 1376680124 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information pertaining to Westside Premier Med Grp most recently updated or revised?
The details related to Westside Premier Med Grp, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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