Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fountain Valley Group Services PC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1194670349

Fountain Valley Group Services PC is a Critical Care Medicine (Internal Medicine) Physician in Indio, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

47111 Monroe St
Indio, CA 92201-6739
Phone: (760) 347-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X

Record details

NPI number1194670349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Vp, Credentialing · (770) 874-5468
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834