| Coachella Valley Care Medical Associates Inc | |
|
81767 Dr Carreon Blvd Ste 201 Indio CA 92201-5599 | |
| (760) 775-4181 | |
| (866) 544-2050 |
| Full Name | Coachella Valley Care Medical Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 81767 Dr Carreon Blvd Ste 201, Indio, California |
| Authorized Official Name and Position | Sam Y Lin (OWNER) |
| Authorized Official Contact | 7605342707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coachella Valley Care Medical Associates Inc 81767 Dr Carreon Blvd Ste 201 Indio CA 92201-5599 Ph: (760) 775-4181 | Coachella Valley Care Medical Associates Inc 81767 Dr Carreon Blvd Ste 201 Indio CA 92201-5599 Ph: (760) 775-4181 |
| NPI Number | 1811319890 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 03/17/2014 |
| Medicare PECOS PAC ID | 2961627286 |
|---|---|
| Medicare Enrollment ID | O20140630001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811319890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A64634 (California) | Primary |
| Provider Name | Christopher L Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041235 PECOS PAC ID: 2860410867 Enrollment ID: I20051108000921 |
| Provider Name | Michael Mostyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235166059 PECOS PAC ID: 3971663592 Enrollment ID: I20081126000451 |
| Provider Name | Sam Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649289992 PECOS PAC ID: 7416045901 Enrollment ID: I20090507000404 |
| Provider Name | Sacho R Kondovski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780678706 PECOS PAC ID: 1850436130 Enrollment ID: I20100311000393 |
| Provider Name | Gerardo Daniel Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760254296 PECOS PAC ID: 3577096833 Enrollment ID: I20241025001570 |
| Provider Name | Jeffrey A Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083399430 PECOS PAC ID: 3971038969 Enrollment ID: I20241127003532 |
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