Organization
CLINICA MEDICA DEL VALLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN M ACOSTA MD (PRESIDENT)
(760) 398-0606
Entity
Organization
Contact information
Practice address
52-565 HARRISON STREET, SUITE 104, COACHELLA, CA 92236-1534
(760) 398-0606
(760) 398-5507
Mailing address
52-565 HARRISON STREET, SUITE 104, COACHELLA, CA 92236-1534
(760) 398-0606
(760) 398-5507
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
A66595
CA
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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