Valley Wide Medical Group Inc

Organization Family Medicine Physician · NPI 1023295458

Valley Wide Medical Group Inc provides Family Medicine Physician services in Boron, California. Licensed in California. Registered with an NPI since 2008.

Licensed in: CA
In the registry since: 2008

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

12500 Boron Ave
Boron, CA 93730 Not confirmed with CMS for 18 years — call before visiting
Phone: (760) 762-5111
Fax: (760) 762-5695

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X · Licence A89858 (CA)

Record details

NPI number	1023295458
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Prabhakar Tummala — President · (909) 945-7687
NPI enumerated	January 29, 2008
Last updated in NPPES	June 23, 2008
Mailing address	12500 Boron Ave, Boron, CA 93730