Organization
EL DESERT RIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SOLIS COBIAN (SUPERVISOR)
(760) 835-4255
Entity
Organization
Contact information
Practice address
38330 CHUPEROSA LN, CATHEDRAL CITY, CA 92234-2006
(760) 835-4255
(760) 657-2639
Mailing address
38330 CHUPEROSA LN, CATHEDRAL CITY, CA 92234-2006
(760) 835-4255
(760) 657-2639
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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