institution
Antelope Valley Community Clinic
Federally Qualified Health Center (FQHC) in Palmdale, California
NPI 1346563673

Antelope Valley Community Clinic is a Federally Qualified Health Center (FQHC) based in Lancaster, CA and is specialized in Federally Qualified Health Center (FQHC). Antelope Valley Community Clinic practices in Palmdale, CA. The NPI Number for Antelope Valley Community Clinic is 1346563673 and holds a License No. 550001129 (California).

The current practice location address for Antelope Valley Community Clinic is 2151 E Palmdale Blvd, Palmdale, CA and can be reached out via phone at 661-575-0009 and via fax at 661-575-0015.

Location: 2151 E Palmdale Blvd, Palmdale, CA, 93534-2382
institution
Provider Profile Details
NPI Number
1346563673
Provider Name
Antelope Valley Community Clinic
Credential
Provider Entity Type
Organization
Address
2151 E Palmdale Blvd, Palmdale, CA, 93534-2382
Phone Number
661-575-0009
Fax Number
661-575-0015
Provider Enumeration Date
03/01/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CT556A 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2151 E Palmdale Blvd
City
State
Zip
93550-4037
Phone Number
661-575-0009
Fax Number
661-575-0015
person
Provider Business Mailing Address Details
Address
2151 E Palmdale Blvd
City
State
Zip
93550-4037
Phone Number
661-575-0009
Fax Number
661-575-0015
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
550001129 (California)
Definition
Definition to come...
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