Organization
INLAND PSYCHIATRIC MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER GUTIERREZ (PROVIDER RELATIONS)
(909) 289-4075
Entity
Organization
Contact information
Practice address
81709 DR CARREON BLVD # B-4, INDIO, CA 92201-5509
(760) 330-5161
(760) 407-6862
Mailing address
81709 DR CARREON BLVD STE C1, INDIO, CA 92201-5577
(760) 330-5161
(760) 407-6862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/01/2020
Last updated
01/07/2021
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