| Valley Comprehensive Medical Group Inc | |
|
81-719 Dr. Carreon Blvd Ste A Indio CA 92201 | |
| (760) 347-0707 | |
| (760) 347-3378 |
| Full Name | Valley Comprehensive Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 81-719 Dr. Carreon Blvd, Indio, California |
| Authorized Official Name and Position | Rosa Briceno (OFFICE MANAGER) |
| Authorized Official Contact | 7603428898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Comprehensive Medical Group Inc 81-719 Dr. Carreon Blvd Ste 2a Indio CA 92201-5518 Ph: (760) 342-8898 | Valley Comprehensive Medical Group Inc 81-719 Dr. Carreon Blvd Ste A Indio CA 92201 Ph: (760) 347-0707 |
| NPI Number | 1164506358 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/21/2018 |
| Medicare PECOS PAC ID | 4587601786 |
|---|---|
| Medicare Enrollment ID | O20050408001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164506358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jambur Chandrashekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013098557 PECOS PAC ID: 2163486614 Enrollment ID: I20081121000659 |
| Provider Name | Clara Lizette Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821746603 PECOS PAC ID: 4587041330 Enrollment ID: I20220517000019 |
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