Organization · NPI-2

Progressive Health Orthopedic Medical Group, INC

Orthopaedic Surgery, Sports Medicine · Indio, CA

NPI number1245539592

StatusActive

Last updated in NPPESMar 24, 2011

Details

NPI: 1245539592
Entity type: Organization (NPI-2)
Legal business name: Progressive Health Orthopedic Medical Group, INC
Organization subpart: No
Enumeration date: Mar 24, 2011
Last updated: Mar 24, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207XX0005X	Orthopaedic Surgery, Sports Medicine	G43101	CA	Yes

Practice location

81880 Dr Carreon Blvd
Suite B209
Indio, CA 92201-5559

Phone 760-775-1400 · Fax 760-775-1401

Mailing address

81880 Dr Carreon Blvd
Suite B209
Indio, CA 92201-5559

Phone 760-775-1400 · Fax 760-775-1401

Authorized official

William Simpson
Owner
7607751400

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