CLINICA MEDICA DEL VALLE INC. NPI 1790921641

NPI Information

CLINICA MEDICA DEL VALLE, INC. is a pediatric surgery surgery in Coachella, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. CLINICA MEDICA DEL VALLE, INC. NPI is 1790921641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

52-565 HARRISON STREET
SUITE 104
COACHELLA, CA
ZIP 92236-534
Phone: (760) 398-0606
Fax: (760) 398-5507

The provider's authorized official is Juan M Acosta .
The authorized official title is President and has the following contact phone number (760) 398-0606.

The CLIA number assigned to this NPI record is 05D1085248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/24/2008 and was last updated on 12/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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