Coachellamed a Professional Corporation
Coachellamed a Professional Corporation is an Exclusive Provider Organization in Rancho Mirage, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
72780 Country Club Dr Ste 100Rancho Mirage, CA 92270-4150
Phone: (760) 413-5027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1932861176 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carlos Lopez — President · (760) 413-5027 |
| Other names | Coachellamed; Coachellamed |
| NPI enumerated | October 5, 2021 |
| Last updated in NPPES | December 3, 2021 |
| Certification date | December 3, 2021 |
| Mailing address | 72780 Country Club Dr Ste 100, Rancho Mirage, CA 92270-4150 |
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