Organization · NPI-2

Coachella Valley Care Medical Associates INC

Family Medicine · Indio, CA

NPI number1710325683
StatusActive
Last updated in NPPESMar 17, 2014

Details

NPI
1710325683
Entity type
Organization (NPI-2)
Legal business name
Coachella Valley Care Medical Associates INC
Organization subpart
No
Enumeration date
Jun 12, 2013
Last updated
Mar 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA64634CAYes

Practice location

81767 Dr Carreon Blvd
Suite 201
Indio, CA 92201-5597

Phone 760-391-5151 · Fax 760-391-5159

Mailing address

81767 Dr Carreon Blvd
201
Indio, CA 92201-5597

Phone 760-775-4181 · Fax 760-775-4818

Authorized official

Arce Lopez
Medical Billing Coordinator
7608631592

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