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COACHELLA DESERT OASIS OB/GYN MEDICAL ASSOCIATES INC. NPI 1609965748


NPI Information

NPI: 1609965748
Provider Name: COACHELLA DESERT OASIS OB/GYN, MEDICAL ASSOCIATES INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1180 N INDIAN CANYON DR
SUITE W-300
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 416-3770
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COACHELLA DESERT OASIS OB/GYN, MEDICAL ASSOCIATES INC. is a specialist in Palm Springs, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COACHELLA DESERT OASIS OB/GYN, MEDICAL ASSOCIATES INC. NPI is 1609965748. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1180 N INDIAN CANYON DR
SUITE W-300
PALM SPRINGS, CA
ZIP 92262-800
Phone: (760) 416-3770
Fax: (760) 322-4596

The provider's authorized official is Reynaldo O Gomez .
The authorized official title is Physician and has the following contact phone number (760) 416-3390.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG86746CALIFORNIANo
2174400000XSpecialistA51395CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0090410MEDICAIDCALIFORNIA

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: 5/5/2024

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