# COACHELLA VALLEY EYE INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730042839
- **Authorized official:** JILLIAN K CHONG M.D. (PHYSICIAN)
- **Authorized official phone:** (510) 847-6567

## Contact information

- **Practice address:** 72780 COUNTRY CLUB DR STE 104, RANCHO MIRAGE, CA 92270-4150
- **Practice address phone:** (510) 847-6567
- **Mailing address:** 72780 COUNTRY CLUB DR STE 104, RANCHO MIRAGE, CA 92270-4150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 02/06/2026