OrganizationValencia Internal Medical Group IncInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address23823 Valencia Blvd, Suite 210, Valencia, CA 91355-2103(661) 222-7333PECOS EnrollmentBased on the most recent information from CMS, provider Valencia Internal Medical Group Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1669482048Provider TypeOrganizationFull NameValencia Internal Medical Group IncSubpartNoEnumeration Date8/9/2006Last Updated10/1/2014Contact InformationPractice LocationPractice Address23823 Valencia Blvd, Suite 210, Valencia, CA 91355-2103Phone(661) 222-7333Fax(661) 259-9175Mailing LocationMailing Address23823 Valencia Blvd, Suite 210, Valencia, CA 91355-2103Phone(661) 222-7333Fax(661) 259-9175Authorized OfficialNameDhanda, Lakhbinder Palsingh (President)Phone(661) 222-7333Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA54446CaliforniaProvider IdentifiersIDDescriptionIssuerID00A544460DescriptionMedicaidIssuerUnlistedCaliforniaIDW16326DescriptionOtherIssuerPTANCalifornia