Organization · Type 2 NPI
Clinica Medica del Valle, Inc.
Pediatric Surgery Physician · Coachella, CA
NPI number
1790921641
Active
Practice location
52-565 Harrison Street, Suite 104
Coachella, CA 92236-1534
Fax (760) 398-5507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X | A66595 (CA) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
About NPI 1790921641
Clinica Medica del Valle, Inc.'s National Provider Identifier is 1790921641, issued on Dec 24, 2008. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Coachella, CA. The record was last updated on Dec 24, 2008.