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COACHELLA VALLEY DIGESTIVE HEALTH INC. NPI 1124485099


NPI Information

NPI: 1124485099
Provider Name: COACHELLA VALLEY DIGESTIVE HEALTH INC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D2060754

Address:
47170 WASHINGTON ST
SUITE 100
LA QUINTA, CA
ZIP 92253
Phone: (760) 771-1111
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COACHELLA VALLEY DIGESTIVE HEALTH INC. is a gastroenterology internal medicine in La Quinta, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. COACHELLA VALLEY DIGESTIVE HEALTH INC. NPI is 1124485099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47170 WASHINGTON ST
SUITE 100
LA QUINTA, CA
ZIP 92253-089
Phone: (760) 771-1111

The provider's authorized official is Adewale Ajumobi .
The authorized official title is President and has the following contact phone number (310) 801-0492.

The CLIA number assigned to this NPI record is 05D2060754 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2016 and was last updated on 2/18/2016.


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
1207RG0100XInternal MedicineGastroenterologyA101199CALIFORNIAYes

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
11871777698MEDICARE PIN

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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