Healthcare Provider Details

I. General information

NPI: 1942118807
Provider Name (Legal Business Name): COACHELLA VALLEY PARENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84859 CALLE VERDE
COACHELLA CA
92236-2808
US

IV. Provider business mailing address

84859 CALLE VERDE
COACHELLA CA
92236-2808
US

V. Phone/Fax

Practice location:
  • Phone: 760-238-1231
  • Fax:
Mailing address:
  • Phone: 760-238-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SANDRA RAMIREZ
Title or Position: DIRECTOR
Credential:
Phone: 760-238-1231