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

Yucca Valley Medical Clinic

Organization Pediatric Surgery Physician · NPI 1952186322

Yucca Valley Medical Clinic is a Pediatric Surgery Physician in Yucca Valley, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

57370 29 Palms Hwy Ste 203
Yucca Valley, CA 92284-2900
Phone: (760) 369-8200
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1952186322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Horning — Credentialer · (707) 299-7043
NPI enumeratedAugust 25, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address57370 29 Palms Hwy Ste 203, Yucca Valley, CA 92284-2900