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General NPI Number Information
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NPI Number | 1770448508
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Entity Type | Organization
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Legal Business Name | DESERT VALLEY MEDICAL GROUP, INC
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 16850 BEAR VALLEY RD
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City | VICTORVILLE
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State | CA
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Zip | 92395-5794
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Country | US
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Telephone | 760-241-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 16850 BEAR VALLEY RD
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City | VICTORVILLE
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State | CA
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Zip | 92395-5794
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Country | US
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Telephone | 760-241-8000
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MARIE LANGLEY
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Credential |
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Telephone | 760-900-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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