Organization · NPI-2

Coachella Valley Care Medical Associates INC

Family Medicine · Indio, CA

NPI number1811319890
StatusActive
Last updated in NPPESMar 17, 2014

Details

NPI
1811319890
Entity type
Organization (NPI-2)
Legal business name
Coachella Valley Care Medical Associates INC
Organization subpart
No
Enumeration date
Jan 10, 2014
Last updated
Mar 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA64634CAYes

Practice location

81767 Dr Carreon Blvd Ste 201
Indio, CA 92201-5599

Phone 760-775-4181 · Fax 866-544-2050

Mailing address

81767 Dr Carreon Blvd Ste 201
Indio, CA 92201-5599

Phone 760-775-4181 · Fax 866-544-2050

Authorized official

Sam Y Lin
Owner
7605342707

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