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RUSSELL JOHN MOLINA NPI 1356549836


NPI Information

NPI: 1356549836
Provider Name: RUSSELL JOHN MOLINA

Doing Business As: COACHELLA VALLEY ORTHOPEDIC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
73345 HIGHWAY 111
STE 102
PALM DESERT, CA
ZIP 92260
Phone: (760) 345-4779
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RUSSELL JOHN MOLINA is a prosthetic orthotic supplier in Palm Desert, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. RUSSELL JOHN MOLINA NPI is 1356549836. The provider is registered as an organization entity type.
The provider Is Doing Business As Coachella Valley Orthopedic.

The provider's business location address is:

73345 HIGHWAY 111
STE 102
PALM DESERT, CA
ZIP 92260-909
Phone: (760) 345-4779
Fax: (760) 772-3904

The provider's authorized official is Russell J Molina .
The authorized official title is Owner and has the following contact phone number (760) 345-4779.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 7/29/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

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
10541480001MEDICARE NSCCALIFORNIA
20541480001MEDICARE PIN
3XC0026070MEDICAIDCALIFORNIA

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: 11/14/2023

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