| Kondovski Medical Group | |
|
79440 Corporate Center Dr. Ste 110 La Quinta CA 92253-7241 | |
| (760) 565-6969 | |
| (760) 565-6966 |
| Full Name | Kondovski Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 79440 Corporate Center Dr. Ste 110, La Quinta, California |
| Authorized Official Name and Position | Sacho Rade Kondovski (OWNER) |
| Authorized Official Contact | 7605656969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kondovski Medical Group 79440 Corporate Center Dr. Ste 110 La Quinta CA 92253-7241 Ph: (760) 565-6969 | Kondovski Medical Group 79440 Corporate Center Dr. Ste 110 La Quinta CA 92253-7241 Ph: (760) 565-6969 |
| NPI Number | 1184933699 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184933699 | NPI | - | NPPES |
| 020A60770 | Other | CA | MEDICARE ID - TYPE UNSPECIFIED |
| 20A6077 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A6077 (California) | Primary |
Edward A. Ruiz Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47110 Washington St Ste 203, La Quinta, CA 92253 Phone: 760-564-9205 Fax: 760-771-6243 | |
Werner Gonzalez Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47250 Washington St Ste A, La Quinta, CA 92253 Phone: 760-771-9437 Fax: 760-564-8581 | |
Efren F Wu Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47647 Caleo Bay Dr Ste 130, La Quinta, CA 92253 Phone: 760-360-1000 Fax: 760-610-6171 | |
Coachella Valley Digestive Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47170 Washington St, Suite 100, La Quinta, CA 92253 Phone: 760-771-1111 | |
S A Allen Md Inc A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr, #110, La Quinta, CA 92253 Phone: 760-564-3533 | |
Mohammad Yousef Alkhatib Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 79405 Highway 111 Ste 9-334, La Quinta, CA 92253 Phone: 760-863-1592 Fax: 866-544-2050 | |
Primehealth 360 Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr Ste 111a, La Quinta, CA 92253 Phone: 760-444-1422 |