| Maria Remedios R. Gopez, Md., Inc. | |
|
81767 Doctor Carreon Blvd Suite 100 Indio CA 92201-5597 | |
| (760) 347-1615 | |
| (760) 347-1635 |
| Full Name | Maria Remedios R. Gopez, Md., Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 81767 Doctor Carreon Blvd, Indio, California |
| Authorized Official Name and Position | Maria Remedios R Gopez (PRESIDENT / CEO) |
| Authorized Official Contact | 7603471615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Remedios R. Gopez, Md., Inc. 81767 Doctor Carreon Blvd Suite 100 Indio CA 92201-5597 Ph: (760) 347-1615 | Maria Remedios R. Gopez, Md., Inc. 81767 Doctor Carreon Blvd Suite 100 Indio CA 92201-5597 Ph: (760) 347-1615 |
| NPI Number | 1356303903 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356303903 | NPI | - | NPPES |
| 00A731040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A731040 (California) | Primary |
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