Organization
MY FAMILY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER HERNANDEZ MD (PRESIDENT)
(760) 625-9870
Entity
Organization
Contact information
Practice address
81709 DR CARREON BLVD STE C5, INDIO, CA 92201-5577
(760) 799-4957
(760) 200-2870
Mailing address
43781 CULEBRA LN, BERMUDA DUNES, CA 92203-1523
(760) 799-4957
(760) 200-2870
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A77736
CA
261QP2300X
Primary Care Clinic/Center
RN500867
CA
Other
Enumeration date
03/07/2015
Last updated
03/09/2015
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