Healthcare Provider Details

I. General information

NPI: 1619552205
Provider Name (Legal Business Name): HOPE VALLEY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 09/02/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35280 BOB HOPE DR STE 100
RANCHO MIRAGE CA
92270-1753
US

IV. Provider business mailing address

35280 BOB HOPE DR STE 100
RANCHO MIRAGE CA
92270-1753
US

V. Phone/Fax

Practice location:
  • Phone: 702-407-8241
  • Fax:
Mailing address:
  • Phone: 702-407-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SRINIVAS B VUTHOORI
Title or Position: OWNER
Credential: MD
Phone: 702-407-8241