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Specialty details in registry · Apple Valley, CA
At a glance
19195 Outer Hwy 18 Ste 106, Apple Valley, CA 92307-2562
NPPES record updated Oct 15, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
19195 Outer Hwy 18 Ste 106Apple Valley, CA 92307-2562
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 291U00000X
- Enumeration date
- Oct 15, 2025
- Record updated
- Oct 15, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
291U00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
19195 Outer Hwy 18 Ste 106Apple Valley, CA 92307-2562
- Phone
- (747) 677-8743
Mailing address
19195 OUTER HWY 18 STE 106APPLE VALLEY, CA 923072562
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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