Morongo Medical Group INC
Internal Medicine in Yucca Valley, CA. Organization (NPI-2).
NPI number1972644516
StatusActive
Last updated in NPPESJan 29, 2021
Details
- NPI
- 1972644516
- Entity type
- Organization (NPI-2)
- Legal business name
- Morongo Medical Group INC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2007
- Certification date
- Jan 29, 2021
- Last updated
- Jan 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A426710 | CA | Yes |
Practice location
57725 29 Palms HwySte 401
Yucca Valley, CA 92284-3044
Phone 760-228-1929 · Fax 760-228-9633
Mailing address
Po Box 1809Yucca Valley, CA 92286-1809
Phone 760-228-1929 · Fax 760-228-9633
Other practice locations
72724 29 Palms Hwy Ste 101
Twentynine Palms, CA 92277-2459
Twentynine Palms, CA 92277-2459
Phone 760-367-9531 · Fax 206-350-7191
Authorized official
Prem P Salhotra
President
7602281929
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