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Organization
GREATFAITH MANAGED CARE INC.
Active
Organization
GREATFAITH MANAGED CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHI TANG (CEO)
(626) 215-3988
Entity
Organization
Contact information
Practice address
61155 FIRE BARREL DR, LA QUINTA, CA 92253-7945
(626) 215-3988
(424) 535-1886
Mailing address
61155 FIRE BARREL DR, LA QUINTA, CA 92253-7945
(424) 535-1886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
06/18/2026
Last updated
09/14/2026
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