Organization
EAST VALLEY MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM Y LIN M.D. (OWNER)
(760) 564-3533
Entity
Organization
Contact information
Practice address
1293 6TH ST, COACHELLA, CA 92236-1707
(760) 863-1592
(760) 775-0768
Mailing address
79440 CORPORATE CENTER DR STE 110, LA QUINTA, CA 92253-7243
(760) 564-3533
(760) 564-3360
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
08/06/2011
Last updated
08/06/2011
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