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Organization
INLAND EMPIRE WELLNESS MEDICAL GROUP INC
Active
Organization
INLAND EMPIRE WELLNESS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROYA KHODAIE (OWNER)
(703) 477-7572
Entity
Organization
Contact information
Practice address
81557 DOCTOR CARREON BLVD STE B2, INDIO, CA 92201-5562
(760) 647-0647
(760) 600-9192
Mailing address
81557 DOCTOR CARREON BLVD STE B2, INDIO, CA 92201-5562
(760) 647-0647
(760) 600-9192
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225X00000X
Occupational Therapist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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