| Organization Name: | DR, MIKEL WALK IN CLINIC |
| NPI Number: | 1942428263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKEL A ALWIS (PRESIDENT) |
| Mailing Address: | 15626 Hesperia Rd Victorville |
| State: | CA US |
| Postal Code: | 92392 |
| Phone Number: | 7609491231 |
| Fax Number: | 7609491236 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 11/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A48518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |