| Santa Rosa Del Valle Medical Group | |
|
1293 6th St Coachella CA 92236-1707 | |
| (760) 391-5151 | |
| (760) 391-5159 |
| Full Name | Santa Rosa Del Valle Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1293 6th St, Coachella, California |
| Authorized Official Name and Position | Frank A Curry (PRESIDENT/CEO) |
| Authorized Official Contact | 7607754181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Del Valle Medical Group 81893 Dr Carreon Blvd Suite #4 Indio CA 92201-5592 Ph: (760) 775-4181 | Santa Rosa Del Valle Medical Group 1293 6th St Coachella CA 92236-1707 Ph: (760) 391-5151 |
| NPI Number | 1508051665 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508051665 | NPI | - | NPPES |
| BCP53882F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Santa Rosa Del Valle Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-391-5151 Fax: 760-391-5159 |