ANTELOPE VALLEY IMPOTENCE & INCONTINENCE MEDICAL CENTER, INC
Organization (NPI-2)
Active
Urology
Provider Information
- NPI Number
1043315120- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 38921 TRADE CENTER DR, PALMDALE, CA, 935513652
- Phone
- (661) 945-0601
- Fax
- (833) 974-2391
Specialties & Taxonomies
Urology
Primary License: CA #C042345