Coachellamed a Professional Corporation
NPI #1932861176 in Rancho Mirage, California
Provider Information
- NPI Number
- 1932861176
- Entity Type
- Organization
- Organization Name
- Coachellamed a Professional Corporation
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 5, 2021
- Last Updated
- Dec 3, 2021
Practice Location
- Address
- 72780 COUNTRY CLUB DR STE 100
- City
- Rancho Mirage
- State
- California
- ZIP Code
- 92270-4150
- Phone
- (760) 413-5027
Authorized Official
- Name
- DR. CARLOS LOPEZ, MD
- Title
- PRESIDENT
- Phone
- (760) 413-5027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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