DESERT FAMILY PRACTICE ASSOCIATES
Marriage and Family Therapists at Kasota Rd, Apple Valley, CA

License number
California 00000843
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MICHAEL JORDAN VIZCARRA M.D.
Title: OWNER
Phone: (760) 948-1454
Address
Address 2
15863 Kasota Rd, Apple Valley, CA 92307
11919 Hesperia Rd SUITE A, Hesperia, CA 92345
National Provider ID: 1073647269
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DESERT FAMILY PRACTICE ASSOCIATES MEDICAL GROUP, INC

11919 Hesperia Rd, Hesperia, CA 92345

Registration:
Jun 22, 2005
State ID:
C2753767
Business type:
Articles of Incorporation
President:
Michael C. Vizcarra (President)
Agent:
Michael J Vizcarra,Hesperia, CA 92345 (Physical)

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