| Coachella Care Clinic | |
|
71843 Highway 111 Ste B Rancho Mirage CA 92270-4418 | |
| (760) 610-5910 | |
| Not Available |
| Full Name | Coachella Care Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 71843 Highway 111 Ste B, Rancho Mirage, California |
| Authorized Official Name and Position | Abdallah Abusamrah (OWNER) |
| Authorized Official Contact | 9512317173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coachella Care Clinic 71843 Highway 111 Ste B Rancho Mirage CA 92270-4418 Ph: (909) 543-5387 | Coachella Care Clinic 71843 Highway 111 Ste B Rancho Mirage CA 92270-4418 Ph: (760) 610-5910 |
| NPI Number | 1467213363 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 7214373984 |
|---|---|
| Medicare Enrollment ID | O20240315003442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467213363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abdallah N Abusamrah Salaimeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699031450 PECOS PAC ID: 4082857164 Enrollment ID: I20150908001619 |
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