Organization
COACHELLAMED A PROFESSIONAL CORPORATION
Active
Organization
COACHELLAMED A PROFESSIONAL CORPORATION
Active
Other names
COACHELLAMED
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS LOPEZ MD (PRESIDENT)
(760) 413-5027
Entity
Organization
Contact information
Practice address
72780 COUNTRY CLUB DR STE 100, RANCHO MIRAGE, CA 92270-4150
(760) 413-5027
Mailing address
72780 COUNTRY CLUB DR STE 100, RANCHO MIRAGE, CA 92270-4150
(760) 413-5027
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
12/03/2021
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