Jherndons LLC
NPI #1972956621 in Rancho Mirage, California
Provider Information
- NPI Number
- 1972956621
- Entity Type
- Organization
- Organization Name
- Jherndons LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JHERNDONS LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jul 18, 2016
- Last Updated
- May 8, 2017
Practice Location
- Address
- 69730 HIGHWAY 111 STE 109
- City
- Rancho Mirage
- State
- California
- ZIP Code
- 92270-2873
- Phone
- (760) 835-1631
Authorized Official
- Name
- DR. RAY MONTELLA, PHD
- Title
- CLINICAL DIRECTOR
- Phone
- (808) 283-0495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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