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67780 E Palm Canyon Drive Cathedral City CA 92234-5441 | |
(760) 328-1000 | |
(760) 328-9379 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 67780 E Palm Canyon Drive, Cathedral City, California |
Authorized Official Name and Position | G Aubrey Serfling (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7603403911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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39000 Bob Hope Drive Rancho Mirage CA 92270-3221 Ph: (760) 340-3911 | 67780 E Palm Canyon Drive Cathedral City CA 92234-5441 Ph: (760) 328-1000 |
NPI Number | 1407007537 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 11/15/2011 |
Identifier | Type | State | Issuer |
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1407007537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 250000142 (California) | Secondary |
282N00000X | General Acute Care Hospital | 250000142 (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 | |