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COACHELLA VALLEY RETINA NPI 1871928945


NPI Information

NPI: 1871928945
Provider Name: COACHELLA VALLEY RETINA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
72301 COUNTRY CLUB DR STE 108
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 895-1993
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COACHELLA VALLEY RETINA is an ophthalmology in Rancho Mirage, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. COACHELLA VALLEY RETINA NPI is 1871928945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

72301 COUNTRY CLUB DR STE 108
RANCHO MIRAGE, CA
ZIP 92270-007
Phone: (760) 895-1993
Fax: (760) 862-1992

The provider's authorized official is Camille Harrison .
The authorized official title is President and has the following contact phone number (760) 464-8244.

The enumeration date for this NPI number is 9/9/2013 and was last updated on 10/18/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyA64900CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A649000MEDICAIDCALIFORNIA
2G29689MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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