Healthcare Provider Details

I. General information

NPI: 1871432500
Provider Name (Legal Business Name): GENTLE DRAW PHLEBOTOMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45909 ALADDIN ST APT 14
INDIO CA
92201-3873
US

IV. Provider business mailing address

45909 ALADDIN ST APT 14
INDIO CA
92201-3873
US

V. Phone/Fax

Practice location:
  • Phone: 760-464-5131
  • Fax:
Mailing address:
  • Phone: 760-464-5131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA PEREZ
Title or Position: OWNER/CEO
Credential:
Phone: 760-464-5131