| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 47915 Oasis St, Indio, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 5103377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | 47915 Oasis St Indio CA 92201-6950 Ph: (760) 863-8638 |
| NPI Number | 1356752760 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356752760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Riverside County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-899-7427 | |
Trust And Believe Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80495 Hwy 111, Ste D, Indio, CA 92201 Phone: 760-640-0473 | |
Oasis Rehabilitation Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81840 Ave. 46, Suite 201, Indio, CA 92201 Phone: 760-347-0750 Fax: 760-863-8603 | |
Pacific Care Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81840 Avenue 46, Suite 103, Indio, CA 92201 Phone: 760-347-2602 | |