Molding Hearts Org

Specialty details in registry · Yucca Valley, CA

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At a glance

6805 Prescott Ave, Yucca Valley, CA 92284-5914

NPPES record updated Jun 14, 2024. Public records can lag behind changes at a practice.

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Practice location

6805 Prescott Ave
Yucca Valley, CA 92284-5914
Professional details: NPI, taxonomy & registry record
NPI1306689682
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Jun 14, 2024
Record updated
Jun 14, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

Specialty details in registry

251V00000X

Specialty details in registry

253Z00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6805 Prescott Ave
Yucca Valley, CA 92284-5914
Phone
(951) 464-8587
Mailing address
6805 PRESCOTT AVE

YUCCA VALLEY, CA 922845914
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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