Healthcare Provider Details

I. General information

NPI: 1649494733
Provider Name (Legal Business Name): INDIO EMERGENCY MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 10/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1293 6TH ST
COACHELLA CA
92236-1707
US

IV. Provider business mailing address

81767 DOCTOR CARREON BLVD SUITE 201
INDIO CA
92201-5597
US

V. Phone/Fax

Practice location:
  • Phone: 760-391-5151
  • Fax: 760-391-5159
Mailing address:
  • Phone: 760-775-4181
  • Fax: 760-775-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANK A CURRY
Title or Position: PRESIDENT CEO
Credential: MD
Phone: 760-775-4181