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34131 Date Palm Dr Cathedral City CA 92234-6812 | |
(760) 770-4600 | |
(760) 321-1625 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 34131 Date Palm Dr, Cathedral City, California |
Authorized Official Name and Position | Robert Stevens Robbins (MEDICAL DIRECTOR) |
Authorized Official Contact | 7607704600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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34131 Date Palm Dr Cathedral City CA 92234-6812 Ph: (760) 770-4600 | 34131 Date Palm Dr Cathedral City CA 92234-6812 Ph: (760) 770-4600 |
NPI Number | 1881654994 |
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Provider Enumeration Date | 03/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881654994 | NPI | - | NPPES |
GR0062120 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G42621 (California) | Primary |
Vivien Pacold, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68100 Ramon Rd, C-5, Cathedral City, CA 92234 Phone: 760-321-6068 Fax: 760-770-6789 | |