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Organization

COACHELLA VALLEY MT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY F VILLALOBOS (CEO)
(760) 424-6574
Entity
Organization

Contact information

Practice address
574 S WILLIAMS RD STE B, PALM SPRINGS, CA 92264-1551
(760) 219-9263
Mailing address
57 S WILLIAMS RD, PALM SPRINGS, CA 92264-1551
(760) 219-9263

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/07/2023
Last updated
12/11/2025
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