California Senior Care INC
Physician Assistant in Indio, CA. Organization (NPI-2).
NPI number1851011985
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1851011985
- Entity type
- Organization (NPI-2)
- Legal business name
- California Senior Care INC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
81709 Dr Carreon Blvd Ste D2Indio, CA 92201-5578
Phone 760-625-0545 · Fax 760-625-0546
Mailing address
81709 Dr Carreon Blvd Ste D2Indio, CA 92201-5578
Phone 760-625-0545 · Fax 760-625-0546
Authorized official
Manuel Tover
PA
7606250545
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