Organization
COACHELLA VALLEY DIGESTIVE HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWALE AJUMOBI MD (PRESIDENT)
(310) 801-0492
Entity
Organization
Contact information
Practice address
47170 WASHINGTON ST, SUITE 100, LA QUINTA, CA 92253-2089
(760) 771-1111
Mailing address
44489 TOWN CENTER WAY, SUITE D485, PALM DESERT, CA 92260-2723
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A101199
CA
Other
Enumeration date
01/24/2016
Last updated
02/18/2016
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