| Clinica Coachella, Inc | |
|
51544 Cesar Chavez St Ste 1d Coachella CA 92236-1504 | |
| (760) 861-1436 | |
| (760) 289-6203 |
| Full Name | Clinica Coachella, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 51544 Cesar Chavez St Ste 1d, Coachella, California |
| Authorized Official Name and Position | Giovanna Baturoni (OFFICE MANAGER) |
| Authorized Official Contact | 7608611436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Coachella, Inc Po Box 140 Coachella CA 92236-0140 Ph: (760) 861-1436 | Clinica Coachella, Inc 51544 Cesar Chavez St Ste 1d Coachella CA 92236-1504 Ph: (760) 861-1436 |
| NPI Number | 1063962538 |
|---|---|
| Provider Enumeration Date | 10/09/2016 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 1153695937 |
|---|---|
| Medicare Enrollment ID | O20170918000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063962538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A977985 (California) | Primary |
| Provider Name | Julian J Alfaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275743932 PECOS PAC ID: 8123114386 Enrollment ID: I20081126000280 |
| Provider Name | Rocio Ruelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245302579 PECOS PAC ID: 9032250022 Enrollment ID: I20100113000437 |
| Provider Name | Natalie M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821737057 PECOS PAC ID: 8224496336 Enrollment ID: I20230622000857 |
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