Raizes | |
1505 Mets Rd Holtville CA 92250-9624 | |
(760) 554-2204 | |
Not Available |
Full Name | Raizes |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1505 Mets Rd, Holtville, California |
Authorized Official Name and Position | Vivian Perez (PRESIDENT) |
Authorized Official Contact | 7605542204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Raizes 1505 Mets Rd Holtville CA 92250-9624 Ph: (760) 554-2204 | Raizes 1505 Mets Rd Holtville CA 92250-9624 Ph: (760) 554-2204 |
NPI Number | 1033942099 |
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Provider Enumeration Date | 08/23/2024 |
Last Update Date | 09/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033942099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Valley Rehab Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 Grape Ave, Holtville, CA 92250 Phone: 760-455-3306 |