Organization · NPI-2

Dr. Javier Rios A Medical Corporation

Family Medicine · Indio, CA

NPI number1205405974
StatusActive
Last updated in NPPESMay 10, 2023

Details

NPI
1205405974
Entity type
Organization (NPI-2)
Legal business name
Dr. Javier Rios A Medical Corporation
Organization subpart
No
Enumeration date
Jun 17, 2021
Certification date
May 10, 2023
Last updated
May 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
208000000X Pediatrics––

Other names

  • Dr. Rios' Clinica Medica Familiar (Doing Business As)

Practice location

82935 Avenue 48 Ste 101
Indio, CA 92201-6757

Phone 855-505-7467 · Fax 888-975-8926

Mailing address

495 E Rincon St Ste 215
Corona, CA 92879-1378

Phone 951-523-0117 · Fax 951-394-0685

Authorized official

Javier R Rios
President
9513543221

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