Cj Professional Corporation | |
49613 Harrison St Ste A105, Coachella, CA 92236-1451 | |
(760) 501-6541 | |
Not Available |
Full Name | Cj Professional Corporation |
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Type | Facility |
Speciality | Physical Therapist |
Location | 49613 Harrison St Ste A105, Coachella, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124758396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Dan James C Rarela |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356502322 PECOS PAC ID: 4880641208 Enrollment ID: I20050406001304 |
Mailing Address | Practice Location Address |
---|---|
Cj Professional Corporation 84410 Onda Dr, Indio, CA 92203-2910 Ph: (760) 342-5501 | Cj Professional Corporation 49613 Harrison St Ste A105, Coachella, CA 92236-1451 Ph: (760) 501-6541 |
Anthony Eugene Jordan, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52115 Prosecco Way, Coachella, CA 92236 Phone: 760-777-2140 | |
Dr. Dan James Castillo Rarela, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 49613 Harrison St Ste A105, Coachella, CA 92236 Phone: 760-391-3410 | |
Michael Kevin Ruiz, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50225 Cesar Chavez St Ste 103, Coachella, CA 92236 Phone: 760-698-8183 Fax: 760-698-8185 |