Healthcare Provider Details

I. General information

NPI: 1619891827
Provider Name (Legal Business Name): THE VILLAGE WELLNESS CENTER CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 7TH ST
COACHELLA CA
92236-1726
US

IV. Provider business mailing address

84334 CANZONE DR
INDIO CA
92203-2903
US

V. Phone/Fax

Practice location:
  • Phone: 442-256-3336
  • Fax: 800-652-4767
Mailing address:
  • Phone: 442-256-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIO ROLON RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 661-293-9016