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

Greatfaith Managed Care Inc

Organization Family Medicine Physician · NPI 1407782584

Greatfaith Managed Care Inc is a Family Medicine Physician in LA Quinta, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

61155 Fire Barrel Dr
LA Quinta, CA 92253-7945
Phone: (626) 215-3988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X

Record details

NPI number1407782584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shi Tang — Ceo · (626) 215-3988
NPI enumeratedJune 18, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address61155 Fire Barrel Dr, La Quinta, CA 92253-7945

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