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NPI Verification

National Provider Identifier: 1043315120

Antelope Valley Impotence & Incontinence Medical Center, INC

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

38921 TRADE CENTER DR

PALMDALE, CA 935513652

Phone: 661-945-0601

NPI Enumeration Date

September 14, 2006

NPI Number

1043315120

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry