Search › California › 111NS0005X
Kevin Percuoco, DC
NPI 1821585357 · on the registry since 2018
Practice
- Address
- 17330 Bear Valley Rd Ste 105
Victorville, CA 92395 - Phone
- (760) 245-8182
- Fax
- (760) 245-2123
- Organisation at this address
- Westside Premier Med Grp
Hd Physical Medicine, A Professional Medical CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 111NS0005X
111NS0005X
- Also registered as
- 111N00000X
- Licence states on file
- CA, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California