Fountain Valley Group Services PC

NPI #1013310309 in Indio, California

Provider Information

NPI Number: 1013310309
Entity Type: Organization
Organization Name: Fountain Valley Group Services PC
Primary Specialty: Hospitalist
Enumeration Date: Oct 1, 2014
Last Updated: Oct 25, 2024

Practice Location

Address: 47111 MONROE ST
City: Indio
State: California
ZIP Code: 92201-6739
Phone: (760) 347-6191

Authorized Official

Name: KIM LARSEN
Title: VP, CREDENTIALING
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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