Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heritage Victor Valley Medical Group

Organization Non-Pharmacy Dispensing Site · NPI 1649506759

Heritage Victor Valley Medical Group is a Non-Pharmacy Dispensing Site in Victorville, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

12408 Hesperia Rd #2
Victorville, CA 92395-7718
Phone: (760) 245-4747
Show map & directions

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

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 54968 (CA)

Record details

NPI number1649506759
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
NPI enumeratedOctober 23, 2009
Last updated in NPPESNovember 30, 2015
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701

Other providers in Victorville